OUTREACH PROFESSIONAL SERVICES INC. (NPI# 1407034655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407034655 |
| Entity Type | Organization |
| Organization Name | OUTREACH PROFESSIONAL SERVICES INC. |
| Other Organization Name | CUYAHOGA PHYSICIAN NETWORK |
| Practice Address |
4804 Leavitt Rd Lorain OH 44053-2139 |
| Mailing Address |
26908 Detroit Rd Suite 301 Westlake OH 44145-2398 |
| Practice Telephone | 4409892066 |
| Practice Fax Number | 4409891153 |
| Mailing Telephone | 4406171823 |
| Mailing Fax Number | 4406170884 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2010-01-12 |
| Authorized Official Name | MISTY A BLAYLOCK (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4408926406 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0251856 | 05 |
| Other Name | Type Code |
|---|---|
| Cuyahoga Physician Network | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538347430 | Outreach Professional Services Inc. | Internal Medicine | 2351 E 22nd St, Suite 130, Cleveland, OH 44115-3111 | 2008-02-04 |
| 1851578157 | Outreach Professional Services Inc. | Orthopaedic Surgery | 416 W 27th St, Ashtabula, OH 44004-4975 | 2008-01-29 |
| Street Address |
4804 LEAVITT RD |
| City | LORAIN |
| State | OH |
| Zip Code | 44053-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264179 | Bharat C. Shah | Specialist | 4804 Leavitt Rd, Suite A, Lorain, OH 44053-2139 | 2005-06-10 |
| 1205090164 | Vanessa R Kabat | Physician Assistant | 4804 Leavitt Rd, Lorain, OH 44053-2139 | 2008-07-10 |
| 1982892493 | Girgis Emil Girgis | Anesthesiology | 4804 Leavitt Rd, Suite A, Lorain, OH 44053-2139 | 2007-10-10 |
| 1013092147 | Sameh R Yonan | Anesthesiology | 4804 Leavitt Rd, Lorain, OH 44053-2382 | 2006-10-26 |
| 1124095112 | Comprehensive Pain Care Center, Inc | Specialist | 4804 Leavitt Rd, Ste A, Lorain, OH 44053-2139 | 2006-03-08 |
| 1649250218 | Lorain Surgery Center, LLC | Clinic/Center | 4804 Leavitt Rd, Ste B, Lorain, OH 44053-2139 | 2006-01-19 |
| 1245218775 | Osama A Malak | Specialist | 4804 Leavitt Rd, Lorain, OH 44053-2382 | 2006-01-04 |
| 1235116906 | Terrence M Olitsky | Physician Assistant | 4804 Leavitt Rd, Ste A, Lorain, OH 44053-2139 | 2005-12-23 |
| 1194729749 | Samuel C Lofton IIi | Physician Assistant | 4804 Leavitt Rd, Lorain, OH 44053-2139 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225579113 | University Primary Care Practices, Inc. | Orthopaedic Surgery | 3600 Kolbe Rd, Ste 100, Lorain, OH 44053-1654 | 2017-03-13 |
| 1427344209 | Kirk Charles Haidet | Orthopaedic Surgery | 5800 Cooper Foster Park Rd W, Lorain, OH 44053-4131 | 2011-06-21 |
| 1891869277 | Donald Francis Blanford | Orthopaedic Surgery | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2006-11-20 |
| 1114910619 | Northern Ohoi Orthopaedics, Inc. | Orthopaedic Surgery | 3600 Kolbe Rd, Lorain, OH 44053-1654 | 2005-08-30 |
| 1801891098 | Victor Nemeth | Orthopaedic Surgery | 3600 Kolbe Rd, Ste 100, Lorain, OH 44053-1652 | 2005-06-15 |
| 1063417251 | Frank Michael Sabo Jr. | Orthopaedic Surgery | 3600 Kolbe Rd, Ste 100, Lorain, OH 44053-1652 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966327 | Crystal Clinic, Inc. | Orthopaedic Surgery | 2383 S Main St Ste D106, Coventry Township, OH 44319-1190 | 2020-09-09 |
| 1306468418 | Mercy Health Physicians North Specialty Care LLC | Orthopaedic Surgery | 2200 Jefferson Ave Fl 4, Toledo, OH 43604-7102 | 2020-05-12 |
| 1841756632 | Ortholive Medical Group | Orthopaedic Surgery | 1311 Vine St, Cincinnati, OH 45202-7118 | 2019-02-16 |
| 1487134581 | Orthopedic One, Inc. | Orthopaedic Surgery | 5500 N. Meadows Drive, Grove City, OH 43123 | 2018-08-17 |
| 1659851921 | Orthopaedic Associates, Inc | Orthopaedic Surgery | 32800 Lorain Rd # 1100, N Ridgeville, OH 44039-3430 | 2018-08-16 |
| 1841788593 | Yirka Vacca | Orthopaedic Surgery | Cleveland Clinic 9500 Euclid Avenue A-40, Cleveland, OH 44195 | 2018-04-27 |
| 1609387984 | Orthopedic Associates of S W Ohio Inc | Orthopaedic Surgery | 3535 Pentagon Blvd Ste 300, Beavercreek, OH 45431-1705 | 2017-10-13 |
| 1689183683 | Orthopedic Associates of S W Ohio, Inc. | Orthopaedic Surgery | 7117 Dutchland Pkwy, Liberty Township, OH 45044-9096 | 2017-09-22 |
| 1760914451 | Morad Chughtai | Orthopaedic Surgery | 10001 Chester Ave, Apt 520, Cleveland, OH 44106-1617 | 2017-03-31 |
| 1306382262 | Zanesville Xpress Ortho Care, LLC | Orthopaedic Surgery | 3089 Maple Ave, Zanesville, OH 43701-1408 | 2017-01-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OUTREACH PROFESSIONAL SERVICES INC..
| 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.