CIRCLE HEALTH SERVICES (NPI# 1417464504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417464504 |
| Entity Type | Organization |
| Organization Name | CIRCLE HEALTH SERVICES |
| Other Organization Name | THE FREE MEDICAL CLINIC OF GREATER CLEVELAND |
| Practice Address |
5955 Ridge Rd Parma OH 44129-3936 |
| Practice Telephone | 4408880300 |
| Mailing Telephone | 4408880300 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | KELLI BLACK (ADVANCE BILLING SPECIALIST) |
| Authorized Official Telephone | 2167214070 |
| Is Organization Subpart | Y |
| Parent Organization Name | CIRCLE HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0082924 | 05 |
| Other Name | Type Code |
|---|---|
| The Free Medical Clinic of Greater Cleveland | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033611355 | Circle Health Services | Clinic/Center | 4400 Euclid Avenue, Cleveland, OH 44103 | 2018-03-02 |
| 1386609857 | Circle Health Services | Clinic/Center | 12201 Euclid Ave, Cleveland, OH 44106 | 2006-04-19 |
| 1134621105 | Circle Health Services | Clinic/Center | 3929 Rocky River Dr, Cleveland, OH 44111-4153 | 2018-03-06 |
| 1306348370 | Circle Health Services | Clinic/Center | 5955 Ridge Rd, Cleveland, OH 44129-3936 | 2018-03-06 |
| 1124520192 | Circle Health Services | Clinic/Center | 5955 Ridge Rd, Cleveland, OH 44129-3936 | 2018-03-06 |
| 1760984736 | Circle Health Services | Clinic/Center | 5209 Detroit Ave, Cleveland, OH 44102-2224 | 2018-03-06 |
| 1942702923 | Circle Health Services | Clinic/Center | 5209 Detroit Ave, Cleveland, OH 44102-2224 | 2018-03-06 |
| 1235631201 | Circle Health Services | Clinic/Center | 3929 Rocky River Dr, Cleveland, OH 44111-4153 | 2018-03-06 |
| 1780186759 | Circle Health Services | Clinic/Center | 3929 Rocky River Dr, Cleveland, OH 44111-4153 | 2018-03-06 |
| 1689176653 | Circle Health Services | Clinic/Center | 5955 Ridge Rd, Cleveland, OH 44129-3936 | 2018-03-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CIRCLE HEALTH SERVICES | 12201 Euclid Ave, Cleveland, OH 44106-4310 |
| Street Address |
5955 RIDGE RD |
| City | PARMA |
| State | OH |
| Zip Code | 44129-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962648931 | Lauren Noel Kaplafka | Social Worker | 5955 Ridge Rd, Parma, OH 44129-3936 | 2008-12-22 |
| 1497380802 | Brandon Jason Butler | Behavior Technician | 5955 Ridge Rd, Parma, OH 44129-3936 | 2020-03-05 |
| 1851932545 | Ariana Danielle Wilin | Behavior Technician | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-10-03 |
| 1093365777 | Bianca M Stallings | Nurse Practitioner | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-09-16 |
| 1427604032 | Rayshawn Wells | Case Manager/Care Coordinator | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-08-11 |
| 1407402019 | Tiffany Galbraith | Case Manager/Care Coordinator | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-08-11 |
| 1376102608 | Corina Bardasuc | Behavior Technician | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-06-11 |
| 1881154854 | Wendy Mosnja | Pharmacy Technician | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-03-25 |
| 1295295665 | Darlene Peters | Behavior Technician | 5955 Ridge Rd, Parma, OH 44129-3936 | 2019-03-22 |
| 1104304872 | Derricka C Barron | Case Manager/Care Coordinator | 5955 Ridge Rd, Parma, OH 44129-3936 | 2018-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819504 | Evolve Behavioral Health LLC. | Counselor | 5788 Ridge Rd Ste 3, Parma, OH 44129 | 2018-07-30 |
| 1952755688 | Lauren Williams | Speech-Language Pathologist | 6907 Brownfield Drive, Parma, OH 44129 | 2016-04-19 |
| 1447611579 | Chidozie Odigwe | Student in an Organized Health Care Education/Training Program | 7007 Powers Boulevard, Parma, OH 44129 | 2016-03-17 |
| 1700296589 | Kellie Richardson | Home Health Aide | 8402 Deerfield Drive, Parma, OH 44129 | 2014-05-02 |
| 1285982843 | John Eugene Huron | Dentist | 5657 Ridge Road, Parma, OH 44129 | 2012-08-29 |
| 1952659682 | Rima Patel | Optometrist | 7101 Lassiter Dr., Parma, OH 44129 | 2012-08-28 |
| 1740570464 | Wig Fashions Inc | Durable Medical Equipment & Medical Supplies | 5466 Pearl Road, Parma, OH 44129 | 2011-04-14 |
| 1447490883 | Adam D. Wysocki | Chiropractor | 5348 Pearl Road, Parma, OH 44129 | 2009-02-25 |
| 1184888547 | Virginia Ruth Ripepi | Registered Nurse | 8003 Dorothy Avenue, Parma, OH 44129 | 2008-07-15 |
| 1871787879 | Roger Goomber | Anesthesiology | 6305 Powers Blvd, Mac 4, Parma, OH 44129 | 2007-09-01 |
| Find all providers in zip 44129 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1376177303 | Erie County Office of Auditor | Clinic/Center | 1925 Hayes Ave Ste B, Sandusky, OH 44870-4737 | 2020-02-28 |
| 1407480593 | Erie County Office of Auditor | Clinic/Center | 333 Buckeye Blvd Ste B, Port Clinton, OH 43452-2475 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
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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.