TAM PHAM MCLEAN (NPI# 1114260122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114260122 |
| Entity Type | Individual |
| Full Name | TAM PHAM MCLEAN |
| Practice Address |
5105 Som Center Rd #106 Willoughby OH 44094-4203 |
| Mailing Address |
5105 Som Center Rd Ste 106 Willoughby OH 44094-4203 |
| Practice Telephone | 4409535740 |
| Practice Fax Number | 4409535741 |
| Mailing Telephone | 4409535740 |
| Mailing Fax Number | 4409535741 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2017-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35.127316 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | '0190167 | 05 |
| Street Address |
5105 SOM CENTER RD #106 |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437163581 | Robert Schiavone | Pharmacist | 5105 Som Center Rd, Kaiser Pharmacy, Willoughby, OH 44094-4203 | 2006-07-27 |
| 1629508619 | Jubilee Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2017-06-13 |
| 1093104598 | Kimberly Ann Svec | Nurse Practitioner | 5105 Som Center Rd, # 106, Willoughby, OH 44094-4203 | 2015-01-21 |
| 1033521422 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2014-05-20 |
| 1952728925 | Ashley E Hoffman | Pharmacist | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2014-03-27 |
| 1649607433 | Healthspan Integrated Care | Pediatrics | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2013-10-11 |
| 1104159862 | Lori A Provenzano | Case Manager/Care Coordinator | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2009-09-14 |
| 1023253143 | Julia Lynn Thomas | Pharmacist | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2008-12-03 |
| 1528132800 | Sharon Brady | Pharmacist | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2006-11-20 |
| 1700967254 | Marguerite Ursula Patton | Registered Nurse | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1649535444 | Maita Louise Jarkewicz | Family Medicine | 4661 Maple St, Willoughby, OH 44094-5730 | 2012-07-08 |
| 1013907989 | Ming Huei Phillip Chiang | Family Medicine | 36001 Euclid Ave, B4, Willoughby, OH 44094-4643 | 2005-10-24 |
| 1629425582 | Signature Health, Inc | Family Medicine | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2016-05-20 |
| 1578717427 | Center for Spinecare and Natural Medicine, LLC. | Family Medicine | 34820 Chardon Rd, Willoughby, OH 44094-9103 | 2008-11-05 |
| 1871798801 | M H Phillip Chiang Md Inc | Family Medicine | 36001 Euclid Ave, B 4, Willoughby, OH 44094-4643 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948667 | Grace Laszlo | Family Medicine | 2385 Creek View Pl, Grove City, OH 43123-1518 | 2020-09-29 |
| 1396350138 | Kelly Crego-lee | Family Medicine | 321 Neal Rd, Saint Paris, OH 43072-9305 | 2020-09-09 |
| 1669087524 | Deanna Tiffiene Thompson | Family Medicine | 895 Slagle Pl, Galloway, OH 43119-8821 | 2020-09-08 |
| 1982218145 | Kara Day | Family Medicine | 5867 Dantawood Ln, Liberty Twp, OH 45044-1309 | 2020-09-04 |
| 1669086260 | Family Care Plus Clinic LLC | Family Medicine | 4490 Darrow Rd, Stow, OH 44224-1885 | 2020-09-02 |
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1588277669 | Sarah Elizabeth Ruth Wilcox | Family Medicine | 3146 Grange Hill Pl, Dublin, OH 43017-1794 | 2020-08-28 |
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1154933463 | Amanda Taylor Greenrod | Family Medicine | 11010 Gabriella Dr, Parma, OH 44130-1468 | 2020-08-18 |
| 1457962110 | Mt. Eaton Medical Group | Family Medicine | 15988 E Chestnut St, Mt. Eaton, OH 44659 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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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.