OUTREACH PROFESSIONAL SERVICES, INC (NPI# 1104371640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104371640 |
| Entity Type | Organization |
| Organization Name | OUTREACH PROFESSIONAL SERVICES, INC |
| Other Organization Name | ST VINCENT MEDICAL GROUP |
| Practice Address |
2322 E 22nd St Ste 201 Cleveland OH 44115-3100 |
| Mailing Address |
Po Box 932127 Cleveland Cleveland OH 44193-0008 |
| Practice Telephone | 2163632626 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Authorized Official Name | THERESA WRABEL (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 2163632626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| St Vincent Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568917003 | Outreach Professional Services, Inc | Durable Medical Equipment & Medical Supplies | 6701 Rockside Rd Ste 350, Independence, OH 44131-2351 | 2016-08-24 |
| Street Address |
2322 E 22ND ST STE 201 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902858939 | Mark S Berkowitz | Orthopaedic Surgery | 2322 E 22nd St Ste 201, Cleveland, OH 44115-3100 | 2006-05-17 |
| 1942684477 | Hasan Abuamsha | Internal Medicine | 2322 E 22nd St Ste 201, Cleveland, OH 44115 | 2015-07-14 |
| 1447453238 | Kimberly Marie Nemeth | Surgery | 2322 E 22nd St Ste 201, Cleveland, OH 44115-3100 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072363 | Buckeye Dme, LLC | Durable Medical Equipment & Medical Supplies | 11201 Shaker Blvd Ste 322, Cleveland, OH 44104-3871 | 2020-04-21 |
| 1194382721 | Great Lakes Neurotechnologies | Durable Medical Equipment & Medical Supplies | 6100 Rockside Woods Blvd N Ste 415, Cleveland, OH 44131-2339 | 2019-05-20 |
| 1326505033 | Cpap Equipsource | Durable Medical Equipment & Medical Supplies | 6629 Engle Rd Ste 106, Cleveland, OH 44130-7943 | 2019-02-28 |
| 1417424938 | Northern Ohio Medical Specialists, LLC | Durable Medical Equipment & Medical Supplies | 2905 Lorain Ave, Cleveland, OH 44113-3405 | 2018-11-02 |
| 1508331471 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1744 Payne Ave Ste P1, Cleveland, OH 44114-2910 | 2018-10-08 |
| 1699271999 | Pharmco | Durable Medical Equipment & Medical Supplies | 570 Paul Huff Pkwy Nw, Cleveland, TN 37312-2957 | 2018-04-04 |
| 1033624457 | Eastside Dme Supply | Durable Medical Equipment & Medical Supplies | 2775 S Moreland Blvd Fl 3, Cleveland, OH 44120-2397 | 2017-12-07 |
| 1437601804 | Anesthesia Services Associates | Durable Medical Equipment & Medical Supplies | 903 E Sunflower Rd Ste 200, Cleveland, MS 38732-2836 | 2016-11-01 |
| 1730550062 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10001 Chester Ave Ste B, Cleveland, OH 44106-1659 | 2015-10-13 |
| 1013383553 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 255 Ocoee Xing Nw, Cleveland, TN 37312-4872 | 2015-08-19 |
| 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.