DR. CHARLES VINCENT WELLMAN (NPI# 1093887382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093887382 |
| Entity Type | Individual |
| Full Name | DR. CHARLES VINCENT WELLMAN |
| Credential | M.D. |
| Practice Address |
300 E 185th St Cleveland OH 44119-1330 |
| Practice Telephone | 2163833775 |
| Practice Fax Number | 2163833750 |
| Mailing Telephone | 2163833775 |
| Mailing Fax Number | 2163833750 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35.047616 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE LICENSE | 35.047616 | 01 |
| OH | 0820106 | 05 |
| Street Address |
300 E 185TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44119-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255333753 | Hospice of The Western Reserve, Inc. | Hospice Care, Community Based | 300 E 185th St, Cleveland, OH 44119 | 2005-08-15 |
| 1750546107 | Linda Ann Herbert | Social Worker | 300 E 185th St, Cleveland, OH 44119-1330 | 2008-07-25 |
| 1043420342 | Maryjo Prince-paul | Registered Nurse | 300 E 185th St, Cleveland, OH 44119-1330 | 2007-05-23 |
| 1144392887 | Meredith Elaine Driscol | Internal Medicine | 300 E 185th St, Cleveland, OH 44119-1330 | 2006-11-15 |
| 1962589382 | Jeffrey Lewis Spiess | Internal Medicine | 300 E 185th St, Cleveland, OH 44119-1330 | 2006-11-01 |
| 1891709887 | Kathleen Mary Pfahl | Registered Nurse | 300 E 185th St, Cleveland, OH 44119-1330 | 2006-07-28 |
| 1215941349 | Mary Ellen Lieder | Nurse Practitioner | 300 E 185th St, Cleveland, OH 44119-1330 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407517 | Cornerstone Behavioral Health LLC | Counselor | 814 E 185th Street, Suite 300, Cleveland, OH 44119 | 2020-05-04 |
| 1194216341 | Margaret Rachelle Logan | Counselor | 17809 Neff Rd, Cleveland, OH 44119 | 2018-05-23 |
| 1093230526 | Brittany Martin | Registered Nurse | 1060 East 177th, Cleveland, OH 44119 | 2017-08-05 |
| 1881047454 | Vanessa Renee Smith | Registered Nurse | 671 E. 200th St, Euclid, OH 44119 | 2016-07-19 |
| 1710395264 | Lakeshore Intergenerational School | Psychologist | 18025 Marcella Rd, Cleveland, OH 44119 | 2014-07-29 |
| 1184967820 | Latonya Robinson | Licensed Practical Nurse | 18001 Harland Ave, Cleveland, OH 44119 | 2013-04-01 |
| 1396016911 | Tameika Annmarie Anderson | Registered Nurse | 20301 Lindbergh Ave., Euclid, OH 44119 | 2012-01-13 |
| 1871805077 | Tabitha L White | Licensed Practical Nurse | 18016 Hiller Ave, Cleveland, OH 44119 | 2010-07-06 |
| 1659573277 | Deborah M Barker | Physical Therapist | 18901 Lakeshore Blvd., Euclid, OH 44119 | 2007-06-05 |
| 1861694234 | University Primary Care Practices Inc | Podiatrist | 18599 Lake Shore Blvd Ste 600, Euclid, OH 44119 | 2007-06-05 |
| Find all providers in zip 44119 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115277 | Basel Bazerbachi | Internal Medicine | Cleveland Clinic Foundation 9500 Euclid Ave Na-23, Cleveland, OH 44195-0001 | 2020-08-18 |
| 1881236560 | Fivestars Onlinecare | Internal Medicine | 850 Euclid Aveneue, Suite 1022, Cleveland, OH 44114 | 2019-10-14 |
| 1982161527 | Lake Point Medical Group,llc | Internal Medicine | 1730 W 25th St Ste 2e, Cleveland, OH 44113-3108 | 2019-03-01 |
| 1780154914 | Syah, LLC | Internal Medicine | 142 Parkway Plaza, Cleveland, GA 30528 | 2018-11-30 |
| 1255818001 | Simrat Kaur | Internal Medicine | Cleveland Clinic Foundation 9500 Euclid Avenue/na- 23, Cleveland, OH 44195-0001 | 2018-07-24 |
| 1528553005 | Nazire Albayrak | Internal Medicine | Cleveland Clinic 9500 Euclid Avenue/na2-3, Cleveland, OH 44195-0001 | 2018-06-26 |
| 1770082471 | Cleveland Clinic Health Services Professional Association, Inc | Internal Medicine | 9500 Euclid Ave # Na4, Cleveland, OH 44195 | 2018-02-08 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1669994935 | Ji Seok Park | Internal Medicine | 9500 Euclid Ave A51, Cleveland, OH 44193-1913 | 2017-07-08 |
| 1407376031 | Arunbabu Sankaranarayanan | Internal Medicine | 2351 E 22nd St # 342w, Cleveland, OH 44115-3111 | 2017-06-24 |
| 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.