UNIVERSITY SUBURBAN HEALTH CENTER (NPI# 1255383097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255383097 |
Entity Type | Organization |
Organization Name | UNIVERSITY SUBURBAN HEALTH CENTER |
Practice Address |
1611 South Green Road Suite 011 South Euclid OH 44121-4129 |
Mailing Address |
1611 South Green Road Suite 009 South Euclid OH 44121-4129 |
Practice Telephone | 2163828920 |
Practice Fax Number | 2163821684 |
Mailing Telephone | 2163828920 |
Mailing Fax Number | 2163821684 |
Enumeration Date | 2006-05-17 |
Last Update Date | 2011-09-14 |
Authorized Official Name | CHARLES R ABBEY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2162972032 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 291U00000X | Clinical Medical Laboratory | 36D0337191CLIA | OH | Laboratories |
Y | 291U00000X | Clinical Medical Laboratory | CLIA36D0337191 | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0316643 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215989447 | University Suburban Health Center | Clinic/Center | 1611 South Green Road, Suite 016, South Euclid, OH 44121-4129 | 2006-05-16 |
1528010360 | University Suburban Health Center | Clinic/Center | 1611 South Green Road, Suite 124, South Euclid, OH 44121-4129 | 2006-05-17 |
Street Address |
1611 SOUTH GREEN ROAD SUITE 011 |
City | SOUTH EUCLID |
State | OH |
Zip Code | 44121-4129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215989447 | University Suburban Health Center | Clinic/Center | 1611 South Green Road, Suite 016, South Euclid, OH 44121-4129 | 2006-05-16 |
1346402575 | Brian Moore | Dermatology | 1611 South Green Road, Suite 146, South Euclid, OH 44121-4121 | 2008-06-29 |
1588746945 | Michael Mcgraw Supler | Physical Therapist | 1611 South Green Road, Suite #036, South Euclid, OH 44121-4128 | 2006-10-19 |
1457447682 | Todd William Locke | Internal Medicine | 1611 South Green Road, Suite 213, South Euclid, OH 44121 | 2006-10-05 |
1467555482 | Michael M Supler & Associates Inc | Occupational Therapist | 1611 South Green Road, Suite #036, South Euclid, OH 44121-4128 | 2006-09-06 |
1437251790 | Ellen Grebinger Wilson | Occupational Therapist | 1611 South Green Road, Suite #036, South Euclid, OH 44121-4128 | 2006-09-05 |
1972618379 | Melissa Mcgraw Supler | Physical Therapist | 1611 South Green Road, Suite #036, South Euclid, OH 44121-4128 | 2006-08-19 |
1326153727 | James Anthony Rosko | Physical Therapist | 1611 South Green Road, Suite #036, South Euclid, OH 44121-4128 | 2006-08-19 |
1023038742 | Thomas A Stellato | Surgery | 1611 South Green Road, Suite 200, South Euclid, OH 44121 | 2006-07-19 |
1528010360 | University Suburban Health Center | Clinic/Center | 1611 South Green Road, Suite 124, South Euclid, OH 44121-4129 | 2006-05-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396213443 | Khrystyne Hill | Home Health Aide | 1396 Villa Dr, South Euclid, OH 44121 | 2018-11-07 |
1700369329 | An Angels Touch | Case Manager/Care Coordinator | 4673 Liberty Road, South Euclid, OH 44121 | 2018-09-10 |
1336654169 | Dawn Marniece Burns | Counselor | 2490 Noble Rd Ste 101, Cleveland Heights, OH 44121 | 2017-12-01 |
1154830610 | Kamry Wilson | Massage Therapist | 1915 Temblethurst Rd, South Euclid, OH 44121 | 2017-09-27 |
1891210027 | Tyrone Sykes | Counselor | 2940 Noble Rd, Cleveland Hts, OH 44121 | 2017-08-09 |
1083140412 | Cortney Casey | Licensed Practical Nurse | 3430 Monticello Blvd, Cleveland Heights, OH 44121 | 2017-05-04 |
1821523374 | Sharmila Noles | Licensed Practical Nurse | 818 South Green Rd, 5, South Euclid, OH 44121 | 2017-04-21 |
1679018725 | Safe Haven Residential Services | In Home Supportive Care | 2515 Belvoir Rd, Cleveland, OH 44121 | 2016-12-28 |
1447702154 | Jerry C Mallory Jr. | Military Health Care Provider | 4018 Bayard 44121, Apo, AA 44121 | 2016-10-28 |
1215388129 | Rose-mary, The Johanna Grasselli Rehabilitation and Education Center | Intermediate Care Facility, Mentally Retarded | 4383 Ammon Road, South Euclid, OH 44121 | 2016-06-22 |
Find all providers in zip 44121 |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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Find all providers with the same taxonomy |
City | SOUTH EUCLID |
Zip Code | 44121 |
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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.