MRS. MARY ELLEN LIEDER (NPI# 1215941349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215941349 |
| Entity Type | Individual |
| Full Name | MRS. MARY ELLEN LIEDER |
| Other Name | MS. MARY ELLEN KOHL |
| Credential | NP |
| Practice Address |
300 E 185th St Cleveland OH 44119-1330 |
| Mailing Address |
1693 Mccausland Dr Hudson OH 44236-5374 |
| Practice Telephone | 2163832222 |
| Mailing Telephone | 3308882020 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
NP07002 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 E 185TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44119-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255333753 | Hospice of The Western Reserve, Inc. | Hospice Care, Community Based | 300 E 185th St, Cleveland, OH 44119 | 2005-08-15 |
| 1750546107 | Linda Ann Herbert | Social Worker | 300 E 185th St, Cleveland, OH 44119-1330 | 2008-07-25 |
| 1043420342 | Maryjo Prince-paul | Registered Nurse | 300 E 185th St, Cleveland, OH 44119-1330 | 2007-05-23 |
| 1144392887 | Meredith Elaine Driscol | Internal Medicine | 300 E 185th St, Cleveland, OH 44119-1330 | 2006-11-15 |
| 1093887382 | Charles Vincent Wellman | Internal Medicine | 300 E 185th St, Cleveland, OH 44119-1330 | 2006-11-14 |
| 1962589382 | Jeffrey Lewis Spiess | Internal Medicine | 300 E 185th St, Cleveland, OH 44119-1330 | 2006-11-01 |
| 1891709887 | Kathleen Mary Pfahl | Registered Nurse | 300 E 185th St, Cleveland, OH 44119-1330 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407517 | Cornerstone Behavioral Health LLC | Counselor | 814 E 185th Street, Suite 300, Cleveland, OH 44119 | 2020-05-04 |
| 1194216341 | Margaret Rachelle Logan | Counselor | 17809 Neff Rd, Cleveland, OH 44119 | 2018-05-23 |
| 1093230526 | Brittany Martin | Registered Nurse | 1060 East 177th, Cleveland, OH 44119 | 2017-08-05 |
| 1881047454 | Vanessa Renee Smith | Registered Nurse | 671 E. 200th St, Euclid, OH 44119 | 2016-07-19 |
| 1710395264 | Lakeshore Intergenerational School | Psychologist | 18025 Marcella Rd, Cleveland, OH 44119 | 2014-07-29 |
| 1184967820 | Latonya Robinson | Licensed Practical Nurse | 18001 Harland Ave, Cleveland, OH 44119 | 2013-04-01 |
| 1396016911 | Tameika Annmarie Anderson | Registered Nurse | 20301 Lindbergh Ave., Euclid, OH 44119 | 2012-01-13 |
| 1871805077 | Tabitha L White | Licensed Practical Nurse | 18016 Hiller Ave, Cleveland, OH 44119 | 2010-07-06 |
| 1659573277 | Deborah M Barker | Physical Therapist | 18901 Lakeshore Blvd., Euclid, OH 44119 | 2007-06-05 |
| 1861694234 | University Primary Care Practices Inc | Podiatrist | 18599 Lake Shore Blvd Ste 600, Euclid, OH 44119 | 2007-06-05 |
| Find all providers in zip 44119 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629592407 | Halyna V. Sul | Nurse Practitioner | 6770 Mayfield Rd Ste 425, Cleveland, OH 44124-2299 | 2017-08-02 |
| 1326122698 | Denise Marie Kresevic | Nurse Practitioner | 10710 East Blvd, Cleveland, OH 44106 | 2006-10-24 |
| 1700495181 | Elizabeth Ann Courtney Ramnytz | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-07-30 |
| 1124655295 | Emily Bulow | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0002 | 2020-03-26 |
| 1982230470 | Chelsea Zeigler | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-03-17 |
| 1164062790 | Akisha Rochelle Burge | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-01-11 |
| 1427692029 | Darya Rybalko | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-11-06 |
| 1578111696 | Amanda Dawn Bovee | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110 | 2019-09-02 |
| 1932689718 | Keara E. Walsh | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2018-08-21 |
| 1477033918 | Susan Lacey Antonelli | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2018-08-15 |
| 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.