FAIRVIEW HOSPITAL (NPI# 1073734042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073734042 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW HOSPITAL |
| Practice Address |
18200 Lorain Ave Cleveland OH 44111-5605 |
| Practice Telephone | 2164767086 |
| Practice Fax Number | 2164767604 |
| Mailing Telephone | 2164767086 |
| Mailing Fax Number | 2164767604 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHRISTOPHER WINTERS (UP CFO CCHS WESTERN REGION) |
| Authorized Official Telephone | 2164767026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932564416 | Fairview Hospital | General Acute Care Hospital | 9000 Lyman Ct, North Ridgeville, OH 44039-9759 | 2015-12-28 |
| 1922139914 | Fairview Hospital | General Acute Care Hospital | 8 River Side Rd, Rocky River, OH 44116-3098 | 2007-03-08 |
| 1881252286 | Fairview Hospital | Clinic/Center | 780 Main St, Great Barrington, MA 01230-2148 | 2019-05-31 |
| 1124686530 | Fairview Hospital | Clinic/Center | 197 Adams Rd, Williamstown, MA 01267-2930 | 2019-05-31 |
| 1639737042 | Fairview Hospital | Clinic/Center | 71 Hospital Ave, North Adams, MA 01247-2504 | 2019-05-31 |
| 1942474176 | Fairview Hospital | General Acute Care Hospital | 29 Lewis Ave, Great Barrington, MA 01230-1713 | 2008-04-18 |
| 1962600395 | Fairview Hospital | Internal Medicine | 20220 Center Ridge Rd, Suite 120, Rocky River, OH 44116-3501 | 2007-07-06 |
| 1598961039 | Fairview Hospital | Internal Medicine | 4330 W 150th St, Cleveland, OH 44135-1362 | 2007-06-22 |
| 1780889725 | Fairview Hospital | Internal Medicine | 25200 Center Ridge Rd, Westlake, OH 44145-4141 | 2007-06-19 |
| 1164643136 | Fairview Hospital | Family Medicine | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2007-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAIRVIEW HOSPITAL | 29 Lewis Ave, Great Barrington, MA 01230-1713 |
| Oklahoma Business Registrations | FAIRVIEW HOSPITALITY, LLC | 4411 Sw 15th St, Oklahoma City, OK 73108 |
| Street Address |
18200 LORAIN AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44111-5605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669113 | Donald Eicher | Internal Medicine | 18200 Lorain Ave, Moll Pavilion, Cleveland, OH 44111-5605 | 2005-06-20 |
| 1477931319 | Vanessa Jean Stagliano | Family Medicine | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2015-05-12 |
| 1336564509 | Regina Pestak | Student in an Organized Health Care Education/Training Program | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2014-02-25 |
| 1285059576 | Vincent Biagio Boytim | Family Medicine | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2014-02-24 |
| 1205277795 | Bridget Lynn Griffin | Registered Nurse | 18200 Lorain Ave, Moll Pavilion, Cleveland, OH 44111-5605 | 2013-07-11 |
| 1831533082 | Deana Mamari | Anesthesiologist Assistant | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2013-04-18 |
| 1144563685 | Natalie Anne Thomas | Family Medicine | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2013-04-03 |
| 1255673828 | Ashley Marie Phipps | Student in an Organized Health Care Education/Training Program | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2013-03-21 |
| 1447500111 | Fairview Cleveland Clinic Hospital | General Acute Care Hospital | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2012-09-11 |
| 1871865477 | Jean Marie Ellsworth-wolk | Clinical Nurse Specialist | 18200 Lorain Ave, Lower Level, Cleveland, OH 44111-5605 | 2012-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098453 | Remeka D Mason | Nurse's Aide | 3770 W 130th St, Cleveland, OH 44111 | 2019-05-14 |
| 1447712500 | L.i.s. Transportation LLC | Secured Medical Transport (VAN) | 15720 Lorain Avenue, Cleveland, OH 44111 | 2019-04-05 |
| 1619446465 | Donald Lewis Jr. | Case Manager/Care Coordinator | 3430 Warren Rd, Apt 25, Cleveland, OH 44111 | 2018-11-21 |
| 1487138335 | Dominique Sharita Dent | Case Manager/Care Coordinator | 12104 Marne Ave., Cleveland, OH 44111 | 2018-09-17 |
| 1629518956 | Daniela Alejandra Mchugh-carias | Specialist/Technologist | 17215 Bradgate Ave, Cleveland, OH 44111 | 2017-03-06 |
| 1568831535 | Marlene Fernandez | Registered Nurse | 3153 West 105, Cleveland, OH 44111 | 2015-09-21 |
| 1225418957 | Subanandhini Subramaniam Parameshwari | Internal Medicine | 18101 Lorain Avenue, Fairview Hospital, Cleveland, OH 44111 | 2015-06-08 |
| 1659785798 | Desiree D Reid | Home Health Aide | 3715 Highland Road, Cleveland, OH 44111 | 2014-06-17 |
| 1184042665 | David Meyer | Pharmacist | 3929 Rocky River Dr., Cleveland, OH 44111 | 2014-04-02 |
| 1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
| Find all providers in zip 44111 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463862 | Kim El Haddad | Student in an Organized Health Care Education/Training Program | Cleveland Clinic Main Campus 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2020-09-29 |
| 1114531829 | Amanda Nicole Olevsky | Student in an Organized Health Care Education/Training Program | 1400 Parker Street, Cleveland, TN 37311-4566 | 2020-09-01 |
| 1295348431 | Brandi Williams | Student in an Organized Health Care Education/Training Program | 2200 Prospect Ave E, Cleveland, OH 44115-2673 | 2020-08-27 |
| 1487265625 | Rima Mayuresh Chaudhari | Student in an Organized Health Care Education/Training Program | Main Campus Cleveland Clinic 9500, Euclid Avenue Na-23, Cleveland, OH 44195-0001 | 2020-08-12 |
| 1134738263 | Alicia Lew | Student in an Organized Health Care Education/Training Program | 9501 Euclid Ave Rm 421q, Cleveland, OH 44106-4711 | 2020-07-24 |
| 1972112100 | Breandria Kamille Thompson | Student in an Organized Health Care Education/Training Program | Case Western Reserve University School of Medicine, Samson Pavilion 9501 Euclid Ave., Room 421q, Cleveland, OH 44106-7506 | 2020-07-23 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1003434507 | Ethan Jordan Lacourt | Student in an Organized Health Care Education/Training Program | 2082 Murray Hill Rd, Cleveland, OH 44106-2359 | 2020-07-10 |
| 1235757808 | Hinali Kirit Patel | Student in an Organized Health Care Education/Training Program | 10000 Lamont Ave Unit 12, Cleveland, OH 44106-4149 | 2020-07-10 |
| 1497376644 | Andrea Sisti | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave Bldg 6th Floor, Crile Building, Cleveland Clinic Main Campus, Dept of Plastic Surgery, Cleveland, OH 44195-0001 | 2020-04-29 |
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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.