CLINIC MEDICAL SERVICES COMPANY (NPI# 1215234976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215234976 |
| Entity Type | Organization |
| Organization Name | CLINIC MEDICAL SERVICES COMPANY |
| Other Organization Name | CLEVELAND CLINIC STAR IMAGING BOARDMAN-CANFIELD |
| Practice Address |
1449 Boardman Canfield Rd Ste 140 Boardman OH 44512-8070 |
| Mailing Address |
6100 W Creek Rd Ste 35 Independence OH 44131-2133 |
| Practice Telephone | 3309657370 |
| Practice Fax Number | 3309657377 |
| Mailing Telephone | 2166428165 |
| Mailing Fax Number | 2166421064 |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | MR. GEORGE KAFITI (DIRECTOR, BUSINESS OPERATIONS) |
| Authorized Official Telephone | 2164455023 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEVELAND CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cleveland Clinic STAR Imaging Boardman-Canfield | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508024209 | Clinic Medical Services Company | Radiology | 1550 Kenny Rd, Columbus, OH 43212-2564 | 2008-05-29 |
| 1124286828 | Clinic Medical Services Company | Radiology | 921a Jasonway Ave, Columbus, OH 43214-2330 | 2008-05-29 |
| 1992963680 | Clinic Medical Services Company | Radiology | 652 Youngstown Warren Rd, Niles, OH 44446-4356 | 2008-05-29 |
| 1407259849 | Clinic Medical Services Company | Radiology | 5529 Far Hills Ave, Dayton, OH 45429-2225 | 2014-09-30 |
| 1306145040 | Clinic Medical Services Company | Radiology | 6096 E Main St, Suite 100, Columbus, OH 43213-4302 | 2011-03-21 |
| 1659539344 | Clinic Medical Services Company | Radiology | 7067 Tiffany Blvd, Youngstown, OH 44514-1993 | 2008-05-29 |
| 1528013984 | Clinic Medical Services Company | Radiology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-05-24 |
| Street Address |
1449 BOARDMAN CANFIELD RD STE 140 |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-8070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114975760 | Richard J Loges IIi | Radiology | 965 Windham Ct Ste 2, # 2, Boardman, OH 44512 | 2006-05-05 |
| 1699920744 | Dr. Adam G. Crouch Inc | Radiology | 8390 Tod Ave, Boardman, OH 44512-6366 | 2008-11-17 |
| 1316105430 | Medical Imaging Network | Radiology | 819 Mckay Ct, Boardman, OH 44512-5713 | 2008-05-27 |
| 1619157930 | Medical Imaging Diagnostics | Radiology | 819 Mckay Ct, Boardman, OH 44512-5713 | 2007-11-05 |
| 1528248846 | Medical Imaging Diagnostics | Radiology | 819 Mckay Ct, Boardman, OH 44512-5713 | 2007-11-05 |
| 1164602488 | Medical Imaging Diagnostics | Radiology | 819 Mckay Ct, Boardman, OH 44512-5713 | 2007-11-05 |
| 1073793394 | Medical Imaging Diagnostics | Radiology | 819 Mckay Ct, Boardman, OH 44512-5713 | 2007-11-05 |
| 1386712289 | Albert M Bleggi | Radiology | 819 Mckay Ct, Boardman, OH 44512-5713 | 2006-12-01 |
| 1285714717 | Medical Imaging Network Inc. | Radiology | 819 Mckay Ct, Boardman, OH 44512-5713 | 2006-10-17 |
| 1366423840 | Richard Anthony Amato | Radiology | 8401 Market St, Boardman, OH 44512-6725 | 2005-11-10 |
| Find all providers in BOARDMAN | ||||
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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.