CLEVELAND VAMC (NPI# 1124066105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124066105 |
Entity Type | Organization |
Organization Name | CLEVELAND VAMC |
Other Organization Name | SANDUSKY VA CBOC |
Practice Address |
1912 Hayes Ave Sandusky OH 44870-4736 |
Mailing Address |
Po Box 5405 Madison WI 53705-0405 |
Practice Telephone | 6088217200 |
Mailing Telephone | 6088217200 |
Enumeration Date | 2006-06-03 |
Last Update Date | 2018-11-09 |
Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
Authorized Official Telephone | 2023822579 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Sandusky VA CBOC | Other Name - Individual/Organization |
SANDUSKY VA CLINIC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598153686 | Cleveland Vamc | Clinic/Center | 111 E Voris St, Akron, OH 44311-1513 | 2014-12-26 |
1508267394 | Cleveland Vamc | Clinic/Center | 8901 Superior Avenue, Cleveland, OH 44106-9998 | 2014-09-11 |
1215344270 | Cleveland Vamc | Clinic/Center | 54 South State Street, Suite 204, Painesville, OH 44077-3445 | 2014-07-22 |
1487926853 | Cleveland Vamc | Clinic/Center | 8701 Brookpark Rd, Parma, OH 44129-6809 | 2012-02-01 |
1104865971 | Cleveland Vamc | Clinic/Center | 1460 Tod Ave Nw, Warren, OH 44485-2407 | 2006-06-06 |
1972550507 | Cleveland Vamc | Clinic/Center | 1025 South Trimble Road, Mansfield, OH 44906-2700 | 2006-05-28 |
1598718090 | Cleveland Vamc | Clinic/Center | 15655 Star Rt 170, Calcutta, OH 43920-9069 | 2006-05-18 |
1962867275 | Cleveland Vamc | Clinic/Center | 7000 Euclid Ave, Suites 102 and 202, Cleveland, OH 44103-4014 | 2015-12-31 |
1144611179 | Cleveland Vamc | Clinic/Center | 10701 East Blvd, Cleveland, OH 44106-1702 | 2015-02-12 |
1053702084 | Cleveland Vamc | Clinic/Center | 10701 East Blvd, Cleveland, OH 44106-1702 | 2015-02-12 |
Street Address |
1912 HAYES AVE |
City | SANDUSKY |
State | OH |
Zip Code | 44870-4736 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265430979 | David Morris | Internal Medicine | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2005-07-07 |
1356963987 | Melissa Catherine Woodruff | Registered Nurse | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2020-05-18 |
1447891726 | Jennifer Christine Richardson | Nurse Practitioner | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2019-10-08 |
1902323223 | Family Health Services of Erie County | Clinic/Center | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2017-08-28 |
1851793533 | North Coast Transitional Care, Inc. | Skilled Nursing Facility | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2014-09-24 |
1275945313 | Erin Lublow | Physical Therapist | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2014-05-23 |
1376954149 | Molly Mcmanus | Speech-Language Pathologist | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2014-05-15 |
1093125262 | Katherine Frey | Speech-Language Pathologist | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2014-04-28 |
1578901062 | Katherine Kay Myerholtz | Nurse Practitioner | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2013-06-06 |
1003159088 | Richard S Scarborough | Pathology | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2013-03-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
1154802080 | Kathryn Nicole Fisher | Counselor | 1975 Hayes Avenue, Sandusky, OH 44870 | 2018-08-28 |
1245727551 | Frank Lynn Fox Jr. | Audiologist | 1522 E Perkins Ave, Sandusky, OH 44870 | 2018-04-23 |
1689187338 | Marc Christian Lowe | Case Manager/Care Coordinator | 206 Brandon Blvd, Sandusky, OH 44870 | 2017-11-15 |
1043740079 | Charlene Jeanette Adams | Counselor | 1518 Pearl Street, Sandusky, OH 44870 | 2017-06-13 |
1386194884 | Max King I | Counselor | 912 Sycamore Line Apt.3d, Sandusky, OH 44870 | 2016-10-07 |
1811349475 | Dannon C Smith | Nurse Practitioner | 266 E Perkins Aveneue, Sandusky, OH 44870 | 2016-07-07 |
1053774810 | Rachel Lynn Holbrook | Nurse Practitioner | 266 E Perkins Ave, Sandusky, OH 44870 | 2016-03-30 |
1700246295 | Caren Westbrooks | Home Health Aide | 168 W. Shoreway Drive, Sandusky, OH 44870 | 2016-02-26 |
1679962260 | Academy of Arts and Sciences | Local Education Agency (LEA) | 328 E. Monroe Street, Sandusky, OH 44870 | 2015-01-20 |
Find all providers in zip 44870 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548734759 | Cincinnati Vamc | Clinic/Center | 4600 Smith Rd Ste A6, Norwood, OH 45212-2793 | 2019-01-22 |
1063800332 | Chillicothe Vamc | Clinic/Center | 17273 Sr 104, Chillicothe, OH 45601-9718 | 2015-01-08 |
1598153686 | Cleveland Vamc | Clinic/Center | 111 E Voris St, Akron, OH 44311-1513 | 2014-12-26 |
1508267394 | Cleveland Vamc | Clinic/Center | 8901 Superior Avenue, Cleveland, OH 44106-9998 | 2014-09-11 |
1407264666 | Carla Joa Raymo | Clinic/Center | 5609 Baldoyle Way, Canal Winchester, OH 43110-7946 | 2014-07-31 |
1861809824 | Chillicothe Vamc | Clinic/Center | 448 West Main Street, Wilmington, OH 45177-2121 | 2014-07-22 |
1952718900 | Huntington Vamc | Clinic/Center | 323a Upper River Road, Gallipolis, OH 45631-1840 | 2014-07-22 |
1215344270 | Cleveland Vamc | Clinic/Center | 54 South State Street, Suite 204, Painesville, OH 44077-3445 | 2014-07-22 |
1417200023 | Cincinnati Vamc | Clinic/Center | 474 Home Street, Georgetown, OH 45121-1459 | 2012-10-19 |
1487926853 | Cleveland Vamc | Clinic/Center | 8701 Brookpark Rd, Parma, OH 44129-6809 | 2012-02-01 |
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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.