HEALTHSPAN PHYSICIANS, LLC (NPI# 1285046649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285046649 |
| Entity Type | Organization |
| Organization Name | HEALTHSPAN PHYSICIANS, LLC |
| Other Organization Name | HEALTHSPAN PHYSICIANS - CLEVELAND HEIGHTS |
| Practice Address |
10 Severance Cir Cleveland Heights OH 44118-1533 |
| Mailing Address |
12301 Snow Rd Revenue Cycle Department Parma OH 44130-1002 |
| Practice Telephone | 2162972300 |
| Practice Fax Number | 2162972805 |
| Mailing Telephone | 8662658844 |
| Mailing Fax Number | 2162658890 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-09-22 |
| Authorized Official Name | MICHAEL MILECA (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 2162658811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| HealthSpan Physicians - Cleveland Heights | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215349634 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 12301 Snow Rd, Parma, OH 44130-1002 | 2014-05-21 |
| 1518379908 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2014-05-20 |
| 1568874949 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 4914 Portage St Nw, North Canton, OH 44720-7249 | 2014-05-20 |
| 1174935563 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 20575 Center Ridge Rd, Suite 502, Rocky River, OH 44116-3422 | 2014-05-20 |
| 1629480058 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 1260 Independence Ave, Akron, OH 44310-1812 | 2014-05-20 |
| 1790197168 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 7536 Fredle Dr, Painesville, OH 44077-9406 | 2014-05-20 |
| 1730591108 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 2500 State Route 59, Suite 28, Kent, OH 44240-7105 | 2014-05-20 |
| 1235541624 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 8920 Canyon Falls Blvd, Twinsburg, OH 44087-1990 | 2014-05-20 |
| 1952713331 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2014-05-20 |
| 1033521422 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2014-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | HEALTHSPAN PHYSICIANS, LLC | 615 Elsinore Place, Cincinnati, OH 45202 |
| Street Address |
10 SEVERANCE CIR |
| City | CLEVELAND HEIGHTS |
| State | OH |
| Zip Code | 44118-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316388 | Wasim Saadeh | Pediatrics | 10 Severance Cir, Kaiser Permanente - Cleveland Heights Medical Center, Cleveland Heights, OH 44118-1533 | 2005-09-14 |
| 1437776069 | Cassandra E Kuchta | Physician Assistant | 10 Severance Cir, Cleveland Heights, OH 44118-1533 | 2020-06-30 |
| 1548826597 | Mark Rodney | Physician Assistant | 10 Severance Cir, Cleveland Heights, OH 44118-1533 | 2019-05-15 |
| 1578991667 | Alexander Hoffman | Pharmacist | 10 Severance Cir, Cleveland Heights, OH 44118-1533 | 2013-10-29 |
| 1417299348 | Annise Chung | Internal Medicine | 10 Severance Cir, Cleveland Heights, OH 44118-1533 | 2013-03-18 |
| 1114273679 | Krystal L Mcclearn | Physical Therapist | 10 Severance Cir, Cleveland Heights, OH 44118-1533 | 2012-08-01 |
| 1447554456 | Jill Marie Reynolds | Speech-Language Pathologist | 10 Severance Cir, Cleveland Heights, OH 44118-1533 | 2011-01-05 |
| 1083920821 | Rallis Rajan | Internal Medicine | 10 Severance Cir, Cleveland Heights, OH 44118-1533 | 2010-08-30 |
| 1922329820 | Kathryn Marie Ruda Wessell | Allergy & Immunology | 10 Severance Cir, Cleveland Heights, OH 44118-1533 | 2010-06-15 |
| 1508195116 | Paula L Divincenzo | Physical Therapist | 10 Severance Cir, Cleveland Heights, OH 44118-1533 | 2009-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| 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 |
|---|---|---|---|---|
| 1174972319 | Salon Productions LLC | Durable Medical Equipment & Medical Supplies | 2577 Noble Road, Cleveland Heights, OH 44121 | 2016-06-08 |
| 1285737015 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 2160 Lee Rd, Cleveland Heights, OH 44118-2908 | 2006-09-07 |
| 1063515609 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 3825 Monticelo Blvd, Cleveland Heights, OH 44121 | 2006-09-07 |
| 1942215967 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3020 Mayfield Rd, Cleveland Heights, OH 44118-1702 | 2006-07-29 |
| 1780629402 | Hom-med, Inc. | Durable Medical Equipment & Medical Supplies | 1908 S Taylor Rd, Cleveland Heights, OH 44118-2104 | 2006-06-17 |
| 1750658589 | O K LLC | Durable Medical Equipment & Medical Supplies | 2000 Lee Rd, Suite 15, Cleveland Heights, OH 44118-2572 | 2011-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648601 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 225 Carlton Davidson Ln Rm 1, Coal Grove, OH 45638-2924 | 2020-10-27 |
| 1801494323 | Augusto S. Fojas, Dds | Durable Medical Equipment & Medical Supplies | 387 County Line Rd W Ste 125, Westerville, OH 43082-6077 | 2020-10-16 |
| 1316552185 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | 6950 Americana Pkwy Ste F, Reynoldsburg, OH 43068-4127 | 2020-09-09 |
| 1689286874 | Cornerstone Medical Services-midwest, LLC | Durable Medical Equipment & Medical Supplies | 25 Office Park Dr Ste B, Hamilton, OH 45013-1496 | 2020-08-19 |
| 1114538980 | Ryan Tullis | Durable Medical Equipment & Medical Supplies | 923 Vernon Odom Blvd, Akron, OH 44307-1315 | 2020-08-13 |
| 1750990362 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 7135 Sylvania Ave Ste 2a, Sylvania, OH 43560-5501 | 2020-07-29 |
| 1881203586 | Kind Medical Supply Company LLC | Durable Medical Equipment & Medical Supplies | 9257 W Sprague Rd Ste B, North Royalton, OH 44133-1208 | 2020-07-28 |
| 1164030037 | Yager Medical LLC | Durable Medical Equipment & Medical Supplies | 740 Yager Rd, New Franklin, OH 44216-9466 | 2020-07-16 |
| 1417574369 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4970 Belmont Ave Ste P, Youngstown, OH 44505-1018 | 2020-06-26 |
| 1417578972 | Steel City Medical Supplies | Durable Medical Equipment & Medical Supplies | 5900 Roche Dr Ste 315, Columbus, OH 43229-3292 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
| City | CLEVELAND HEIGHTS |
| Zip Code | 44118 |
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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.