OUTREACH PROFESSIONAL SERVICE, INC.


Address: 2322 E 22nd St, Suite 310, Cleveland, OH 44115-3176
Phone: 2163632732

OUTREACH PROFESSIONAL SERVICE, INC. (NPI# 1356650493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356650493
Entity Type Organization
Organization Name OUTREACH PROFESSIONAL SERVICE, INC.
Other Organization Name CUYAHOGA PHYSICIAN NETWORK
Practice Address 2322 E 22nd St
Suite 310
Cleveland
OH 44115-3176
Mailing Address 26908 Detroit Rd
Suite 301
Westlake
OH 44145-2398
Practice Telephone 2163632732
Practice Fax Number 2163633304
Mailing Telephone 4406171823
Mailing Fax Number 4406170884
Enumeration Date 2010-10-06
Last Update Date 2010-10-06
Authorized Official Name MISTY A BLAYLOCK (CREDENTIALING COORDINATOR)
Authorized Official Telephone 4408926406
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0251856 05

Other Provider/Organization Names

Other Name Type Code
Cuyahoga Physician Network Doing Business As Name - Organization

Office Location

Street Address 2322 E 22ND ST
SUITE 310
City CLEVELAND
State OH
Zip Code 44115-3176

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598763393 Marc A. Abrams Specialist 2322 E 22nd St, Suite 102, Cleveland, OH 44115-3176 2005-07-14
1417318809 Premier Physicians Centers, Inc. Durable Medical Equipment & Medical Supplies 2322 E 22nd St, Suite 310, Cleveland, OH 44115-3176 2016-03-11
1477913671 Linn Leclair Physician Assistant 2322 E 22nd St, Cleveland, OH 44115-3176 2016-03-01
1952760977 Michael Gype Physician Assistant 2322 E 22nd St, Suite 207, Cleveland, OH 44115-3176 2016-02-18
1316318371 Cardioplus LLC Internal Medicine 2322 E 22nd St, Ste 306, Cleveland, OH 44115-3176 2015-10-15
1053724492 Jennifer Josefina Del Rio Dietitian, Registered 2322 E 22nd St, Suite 207, Cleveland, OH 44115-3176 2014-06-03
1316295884 Mjjd Spine Group, Ltd Chiropractor 2322 E 22nd St, Suite 302, Cleveland, OH 44115-3176 2012-08-15
1831333574 Therese Conway Moltz Physician Assistant 2322 E 22nd St, Cleveland, OH 44115-3176 2009-04-24
1073785309 I M Sonpal Md Inc Surgery 2322 E 22nd St, Suite 207, Cleveland, OH 44115-3176 2008-03-27
1659549822 Dr Howard Sheldon Siegel M.d. LLC Ophthalmology 2322 E 22nd St, Suite 307, Cleveland, OH 44115-3176 2008-02-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972117299 Ann Marie Louise Melinz Counselor 2525 West 22nd Street, Cleveland, OH 44115 2020-09-03
1881231850 Steven Kelly Case Management 3500 Carnegie Ave., Cleveland, OH 44115 2019-12-09
1649821422 Larry Hollimon Technician 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 2019-09-24
1306332408 Tyler Milam Counselor 2334 Prospect Ave., 400, Cleveland, OH 44115 2018-07-02
1780108019 Victoria Charles Registered Nurse 2500 E. 22nd St, Cleveland, OH 44115 2017-07-28
1528580511 Randol Jamel Kennedy Internal Medicine 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 2017-07-11
1508393422 Gang Anthony Lu Dentist 1110 Euclid Ave Ste 202, Cleveland, OH 44115 2017-05-23
1093116501 Megan Shiles Psychologist 2675 East 30th St., Cleveland, OH 44115 2014-09-16
1003224577 Efewongbe Benedicta Oleghe Internal Medicine 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 2014-07-29
1982032074 Andrew Winchester Social Worker 2500 Carnegie Ave, Cleveland, OH 44115 2013-10-29
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538323845 Revital Leah Gorodeski Baskin Internal Medicine Department of Endocrinology Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195-0001 2008-07-16
1942405790 Mary Vouyiouklis Kellis Internal Medicine Cleveland Clinic F 20, 9500 Euclid Avenue, Cleveland, OH 44195-0001 2007-06-20
1003985078 Sanjit Singh Bindra Internal Medicine 7255 Old Oak Blvd Ste C406, Cleveland, OH 44130-3301 2006-11-06
1023129079 Delorise Brown Internal Medicine 1831 Forest Hills Blvd, Suite 105, Cleveland, OH 44112-4348 2006-08-31
1245343862 Betul A. Hatipoglu Internal Medicine 9400 Euclid Ave, F20, Cleveland, OH 44195-0001 2006-08-16
1316977663 Adnan H Tahir-fadlallah Internal Medicine 4758 Ridge Rd, #161, Cleveland, OH 44144-3327 2006-07-03
1144682469 Nabil Zuhayr Madhun Internal Medicine 9500 Euclid Ave, Cleveland, OH 44195-0001 2016-03-25
1053795484 Alexandra Mikhael Internal Medicine 9500 Euclid Ave, Cleveland, OH 44195-0001 2015-07-15
1063899227 Erica Alexandra Giraldi Internal Medicine 11100 Euclid Ave, Cleveland, OH 44106-1716 2015-04-27
1093148983 Bartolome Burguera Internal Medicine 9500 Euclid Ave, Cleveland Clinic. Department of Endocrinology, Cleveland, OH 44195-0001 2013-08-14
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Competitor

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City CLEVELAND
Zip Code 44115

Improve Information

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Dataset Information

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.

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