MARY REVILLE (NPI# 1003226978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003226978 |
| Entity Type | Individual |
| Full Name | MARY REVILLE |
| Practice Address |
10700 Churchill Ave Cleveland OH 44106-1209 |
| Practice Telephone | 2167912496 |
| Mailing Telephone | 2167912496 |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
166851 | OH | Nursing Service Providers |
| Street Address |
10700 CHURCHILL AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306233390 | Carol Pennington | Registered Nurse | 17009 Truax Ave, Cleveland, OH 44111-4265 | 2015-04-17 |
| 1912305475 | Shelley G. Mellino | Registered Nurse | 1355 W. 70th, Cleveland, OH 44102 | 2014-12-16 |
| 1326464686 | Mary Therese Haupt | Registered Nurse | 4550 W 150th St, Cleveland, OH 44135-3460 | 2014-03-11 |
| 1285059311 | Sherri Douglas | Registered Nurse | 1100 Superior Ave E, Cleveland, OH 44114-2530 | 2014-02-26 |
| 1831514041 | Margarita Del Valle Cruz | Registered Nurse | 3145 W 46th St, Cleveland, OH 44102-5913 | 2014-02-25 |
| 1437574779 | Debbie Ropas | Registered Nurse | 10308 Baltic Rd, Cleveland, OH 44102-1631 | 2014-02-24 |
| 1881968337 | Maryellen Ann Davison | Registered Nurse | 140 Bridge St, Cleveland, NY 13042-3144 | 2012-03-01 |
| 1952631699 | Cleveland School District | Registered Nurse | 305 Merritt Dr, Cleveland, MS 38732-2247 | 2009-12-31 |
| 1164624367 | Barbara Liddell | Registered Nurse | 1878 Mannering Rd, Cleveland, OH 44112-1571 | 2007-06-01 |
| 1811406622 | Angela Hale | Registered Nurse | 1111 Superior Ave E Ste 1800, Cleveland, OH 44114-2500 | 2017-09-25 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.