DR. ABRAHAM BROWN MEDLONG (NPI# 1255533139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255533139 |
Entity Type | Individual |
Full Name | DR. ABRAHAM BROWN MEDLONG |
Credential | D.C. |
Practice Address |
4269 Pearl Rd 200 Cleveland OH 44109-4234 |
Practice Telephone | 2167399000 |
Practice Fax Number | 2167399001 |
Mailing Telephone | 2167399000 |
Mailing Fax Number | 2167399001 |
Enumeration Date | 2007-06-04 |
Last Update Date | 2010-06-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3883 | OH | Chiropractic Providers |
N | 111N00000X | Chiropractor | 038010958 | IL | Chiropractic Providers |
Street Address |
4269 PEARL RD 200 |
City | CLEVELAND |
State | OH |
Zip Code | 44109-4234 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164498853 | Dorota E Bauer | Internal Medicine | 4269 Pearl Rd, Ste 208, Cleveland, OH 44109-4234 | 2006-02-23 |
1467060145 | Asia Moore | Social Worker | 4269 Pearl Rd, Cleveland, OH 44109-4234 | 2020-07-17 |
1407470495 | Steven Gatte | Nurse Practitioner | 4269 Pearl Rd, Cleveland, OH 44109-4234 | 2020-06-04 |
1114546751 | Kevin Vinson | Case Manager/Care Coordinator | 4269 Pearl Rd, Cleveland, OH 44109-4234 | 2020-04-14 |
1326672403 | Aleeyah Norvell | Case Manager/Care Coordinator | 4269 Pearl Rd, Cleveland, OH 44109-4234 | 2020-02-27 |
1952935348 | Quanita Taylor | Case Manager/Care Coordinator | 4269 Pearl Rd, Cleveland, OH 44109-4234 | 2020-02-25 |
1053945667 | Dominic Guilonard | Case Manager/Care Coordinator | 4269 Pearl Rd, Cleveland, OH 44109-4234 | 2020-02-24 |
1871131250 | Christopher Macias | Counselor | 4269 Pearl Rd, Cleveland, OH 44109-4234 | 2019-12-16 |
1497391049 | Michelle Ragland-stewart | Case Manager/Care Coordinator | 4269 Pearl Rd, Cleveland, OH 44109-4234 | 2019-11-19 |
1225671183 | Lelonna Ferguson | Case Manager/Care Coordinator | 4269 Pearl Rd, Cleveland, OH 44109-4234 | 2019-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
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Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902455397 | Olivia Miller | Chiropractor | 4645 N Lee Hwy # 1, Cleveland, TN 37312-4042 | 2019-09-09 |
1205390853 | Ryan Patrick Tropf | Chiropractor | 6009 Landerhaven Dr Ste G, Cleveland, OH 44124-4192 | 2019-01-29 |
1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
1053828863 | Ben Linkel | Chiropractor | 4834 Richmond Rd, Cleveland, OH 44128-5963 | 2018-01-02 |
1760918973 | Cleveland Accident Rehab, LLC | Chiropractor | 3109 W 25th St, Cleveland, OH 44109-1635 | 2017-05-08 |
1609246164 | Eric Wolk | Chiropractor | 1810 W 25th St, #1, Cleveland, OH 44113-3152 | 2015-09-28 |
1386052405 | Shaker Boulevard Rehab Group LLC | Chiropractor | 11811 Shaker Blvd Ste 309, Cleveland, OH 44120-1927 | 2014-08-01 |
1760810246 | Leland W Wear | Chiropractor | 755 Broad St Nw Ste C, Cleveland, TN 37311-2248 | 2013-10-22 |
1922369271 | Joint Effort Chiropractic, Inc. | Chiropractor | 1500 W 3rd St, #550, Cleveland, OH 44113-1467 | 2012-06-04 |
1912267543 | Downtown Cleveland Injury & Therapy Center, LLC | Chiropractor | 1419 West 9th Street, Cleveland, OH 44113 | 2012-05-16 |
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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.