CLEVELAND AREA HOSPITAL AUTHORITY (NPI# 1174774855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174774855 |
| Entity Type | Organization |
| Organization Name | CLEVELAND AREA HOSPITAL AUTHORITY |
| Other Organization Name | LAKE AREA MEDICAL ASSOCIATES |
| Practice Address |
1400 W Pawnee St Cleveland OK 74020-3020 |
| Practice Telephone | 9183583588 |
| Mailing Telephone | 9183583588 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2020-09-27 |
| Authorized Official Name | SABRINA ALDRIDGE (CLINIC MANAGER) |
| Authorized Official Telephone | 9183583588 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lake Area Medical Associates | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | CLEVELAND AREA HOSPITAL AUTHORITY | 1400 W Pawnee St, Cleveland, OK 74020 |
| Street Address |
1400 W PAWNEE ST |
| City | CLEVELAND |
| State | OK |
| Zip Code | 74020-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700837986 | Loring Barwick Jr. | Family Medicine | 1400 W Pawnee St, Cleveland, OK 74020-3020 | 2006-05-13 |
| 1588160774 | Cleveland Area Hospital Holdings, Inc. | Clinic/Center | 1400 W Pawnee St, Cleveland, OK 74020-3020 | 2018-04-05 |
| 1457584195 | Heather Jo Maxwell | Nurse Practitioner | 1400 W Pawnee St, Cleveland, OK 74020-3020 | 2009-08-28 |
| 1629007778 | Wei-ming Liou | Family Medicine | 1400 W Pawnee St, Cleveland, OK 74020-3020 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699912048 | Pawnee County Home Health, Inc. | Home Health | 1310 W. Pawnee, Cleveland, OK 74020 | 2009-01-07 |
| 1427295872 | Cleveland Area Hospital Holdings, Inc. | General Acute Care Hospital | 1401 West Pawnee, Cleveland, OK 74020 | 2009-01-07 |
| 1205956851 | Sampson J Blythe IIi | Chiropractor | 312 S Broadway, Cleveland, OK 74020 | 2007-03-29 |
| 1134260961 | Cleveland Chiropractic Clinic Inc | Chiropractor | 312 S Broadway Street, Cleveland, OK 74020 | 2007-02-12 |
| 1932211505 | Gregory Allen Fielding | Optometrist | 107 South Broadway, Cleveland, OK 74020 | 2006-08-31 |
| 1568422509 | Cleveland Healthcare Properties, LLC | General Acute Care Hospital | 1401 W Pawnee, Cleveland, OK 74020 | 2006-03-24 |
| 1801020565 | Cleveland Area Hospital Holdings, Inc. | Emergency Medicine | 1401 West Pawnee, Cleveland, OK 74020 | 2009-05-11 |
| 1881831774 | Cleveland Area Hospital Holdings, Inc. | Medicare Defined Swing Bed Unit | 1401 West Pawnee, Cleveland, OK 74020 | 2009-01-14 |
| 1710528195 | Rhonda Brown | Case Manager/Care Coordinator | 362539 Old Hwy 64, Cleveland, OK 74020-0036 | 2019-10-07 |
| 1891885521 | Cleveland Public Schools | Local Education Agency (LEA) | 600 N Gilbert Ave, Cleveland, OK 74020-1023 | 2006-10-13 |
| Find all providers in zip 74020 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093237802 | Cle Medical & Rehabilitation LLC | General Practice | 1701 E 12th Street, Wg 240, Cleveland, OH 44114 | 2017-07-13 |
| 1700129244 | Tyler Keith Mccurry | General Practice | 2253 Chambliss Ave Nw Ste 101, Cleveland, TN 37311-3861 | 2013-04-03 |
| 1669704094 | Kuldeep Singh Md,llc | General Practice | 4804 Pearl Rd, Cleveland, OH 44109-5144 | 2010-02-10 |
| 1396964631 | James Gray Adams | General Practice | 208 S Pearman Ave, Cleveland, MS 38732-3248 | 2007-04-25 |
| 1083753388 | Harry Dady Simmons | General Practice | 11002 Detroit Ave, Cleveland, OH 44102 | 2007-02-05 |
| 1609884592 | St Judes Medical Clinic | General Practice | 7211 Broadway, Cleveland, OH 44105 | 2006-08-04 |
| 1104434620 | Moustafa Moussally | General Practice | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-07-21 |
| 1417441171 | Margaret G Shaffer | General Practice | 11100 Euclid Ave, Cleveland, OH 44106 | 2018-06-17 |
| 1013449883 | Caleb Nathaniel Seavey | General Practice | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2017-03-31 |
| 1881950889 | Jalex, LLC | General Practice | 3372 Keith St Nw, Cleveland, TN 37312-3718 | 2012-04-04 |
| 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.