GREGORY MENENDEZ (NPI# 1427041714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427041714 |
| Entity Type | Individual |
| Full Name | GREGORY MENENDEZ |
| Credential | AA |
| Practice Address |
29017 Cedar Rd Lyndhurst OH 44124-4073 |
| Mailing Address |
Po Box 567 Chagrin Falls OH 44022-0567 |
| Practice Telephone | 4404608000 |
| Practice Fax Number | 4404601759 |
| Mailing Telephone | 2164645160 |
| Mailing Fax Number | 2164645982 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2010-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 67000018 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1427041714 | 05 | |
| OH | ANTHEM | 000000515970 | 01 |
| OH | WELLCARE MEDICAID | 415010 | 01 |
| OH | AETNA | 7405896 | 01 |
| OH | MEDICARE RAILROAD | P00405856 | 01 |
| OH | 2491021 | 05 | |
| OH | UNISON | 000000232169 | 01 |
| OH | BCMH | 0583328 | 01 |
| Street Address |
29017 CEDAR RD |
| City | LYNDHURST |
| State | OH |
| Zip Code | 44124-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427059641 | Susan White Anesthesia, Inc. | Anesthesiology | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2005-08-10 |
| 1194121608 | Sharon Priesand | Physician Assistant | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2014-11-10 |
| 1801146394 | University Hospitals Cleveland Medical Center | Clinic/Center | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2012-09-12 |
| 1356660468 | University Hospitals Medical Group, Inc. | Anesthesiology | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2010-05-28 |
| 1619093291 | Zeeba Surgery Center Lp | Clinic/Center | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2007-03-22 |
| 1780697664 | Uhhs Zeeba Surgery Center | Clinic/Center | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2006-08-14 |
| 1942293741 | Diane Mayo | Nurse Anesthetist, Certified Registered | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2005-08-26 |
| 1376536466 | James Giulitto | Nurse Anesthetist, Certified Registered | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2005-08-24 |
| 1376536557 | Jennifer Honsaker | Registered Nurse | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2005-08-24 |
| 1104818426 | Regina M Bruno | Anesthesiologist Assistant | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2005-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| Find all providers in zip 44124 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818426 | Regina M Bruno | Anesthesiologist Assistant | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1902347123 | Eric Klinedinst | Anesthesiologist Assistant | 2126 Murray Hill Rd Apt 1, Cleveland, OH 44106-2339 | 2017-03-20 |
| 1568900371 | James George Davis | Anesthesiologist Assistant | 4902 Wellington Ave, Parma, OH 44134-3564 | 2017-02-01 |
| 1104276963 | Nada Tayeh | Anesthesiologist Assistant | 7831 Hickory Hill Ln, Parma, OH 44130-7664 | 2016-06-13 |
| 1821452020 | Tara Hammann | Anesthesiologist Assistant | 7115 Ludlum Rd, Morrow, OH 45152-7517 | 2016-04-13 |
| 1932588399 | Bianca Shah | Anesthesiologist Assistant | 2400 N Star Ln, Avon, OH 44011-2016 | 2015-05-19 |
| 1376949198 | Amanda Price | Anesthesiologist Assistant | 5455 N Marginal Rd, Apt. 412, Cleveland, OH 44114-3937 | 2014-11-05 |
| 1518381250 | Erin Leslie | Anesthesiologist Assistant | 2195 Auburn Avenue, Cincinnati, OH 45219-2906 | 2014-02-18 |
| 1770862500 | Colleen Dwight Traud | Anesthesiologist Assistant | 1730 W. 25th St, Cleveland, OH 44113 | 2011-08-10 |
| 1134440142 | Zachary Nearman | Anesthesiologist Assistant | 32430 Pinebrook Ln, Pepper Pike, OH 44124-5953 | 2010-06-14 |
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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.