GREAT LAKES NEUROTECHNOLOGIES (NPI# 1194382721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194382721 |
Entity Type | Organization |
Organization Name | GREAT LAKES NEUROTECHNOLOGIES |
Practice Address |
6100 Rockside Woods Blvd N Ste 415 Cleveland OH 44131-2339 |
Practice Telephone | 2163615410 |
Practice Fax Number | 2163615420 |
Mailing Telephone | 2163615410 |
Mailing Fax Number | 2163615420 |
Enumeration Date | 2019-05-20 |
Last Update Date | 2019-05-20 |
Authorized Official Name | MATTHEW TARLER (DIRECTOR QUALITY & REGULATORY) |
Authorized Official Telephone | 2163615410 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GREAT LAKES NEUROTECHNOLOGIES INC. | 6100 Rockside Woods Blvd N Ste 415, Cleveland, OH 44131 |
Street Address |
6100 ROCKSIDE WOODS BLVD N STE 415 |
City | CLEVELAND |
State | OH |
Zip Code | 44131-2339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
Find all providers in zip 44131 |
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 |
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 |
1053727545 | Church Square Pharmacy | Durable Medical Equipment & Medical Supplies | 14529 Puritas Ave, Cleveland, OH 44135-2813 | 2014-07-07 |
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.