ANDREW JIMERSON


Address: 11811 Shaker Blvd, Ste. 330, Cleveland, OH 44120-1931
Phone: 2167211805

ANDREW JIMERSON (NPI# 1427056076) 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) 1427056076
Entity Type Individual
Full Name ANDREW JIMERSON
Credential M.D.
Practice Address 11811 Shaker Blvd
Ste. 330
Cleveland
OH 44120-1931
Mailing Address Po Box 210146
South Euclid
OH 44121-7146
Practice Telephone 2167211805
Practice Fax Number 2167214257
Mailing Telephone 2167211805
Mailing Fax Number 2167214257
Enumeration Date 2005-07-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 173000000X Legal Medicine 35-141190J OH Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH ANTHEM 000000135949 01
OH 2183622 05

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Office Location

Street Address 11811 SHAKER BLVD
STE. 330
City CLEVELAND
State OH
Zip Code 44120-1931

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487124814 Nancy A Digeronimo Registered Nurse 11811 Shaker Blvd, Cleveland, OH 44120-1931 2018-11-28
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1467995423 Blossom 24 Hour We Care Center, Inc Non-emergency Medical Transport (VAN) 11811 Shaker Blvd, Suite 120, Cleveland, OH 44120-1931 2016-11-23
1588922181 Domestic Violence & Child Advocacy Center Community/Behavioral Health 11811 Shaker Blvd, Suite 220, Cleveland, OH 44120-1931 2012-05-02
1538477864 Xtra Helping Hands Healthcare Provider, LLC Home Health 11811 Shaker Blvd, Suite 120, Cleveland, OH 44120-1931 2010-09-21
1295067619 Emily S. Plank Counselor 11811 Shaker Blvd, Suite 220, Cleveland, OH 44120-1931 2010-02-10
1801127642 Colleen Marie Lasky Counselor 11811 Shaker Blvd, Suite 220, Cleveland, OH 44120-1931 2010-01-19
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1578726493 Acacia Educational Therapeutic & Diagnostic Learning Center LLP Occupational Therapist 11811 Shaker Blvd, Suite #305, Cleveland, OH 44121-1927 2008-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619578275 Steps To Wellness, Inc. Counselor 3577 East 144h Street, Cleveland, OH 44120 2020-11-02
1396343752 Chauncey Lang Homemaker 3090 #10 Livingston Ave, Cleveland, OH 44120 2020-10-16
1558999607 Delores Collins Community Health Worker 12200 Farhill Rd C-349, Cleveland, OH 44120 2020-04-01
1497396949 Renisha Delia Spencer Home Health 3387 E. 137th Street, Cleveland, OH 44120 2019-10-07
1598313249 Torrence Hands Healthcare LLC Clinic/Center 3440 Avalon Road Apt 204, Shaker Hts, OH 44120 2019-08-27
1164908067 Complete Recovery LLC Clinic/Center 2618 N Moreland Blvd, Cleveland, OH 44120 2018-07-13
1871095000 Stacy-ann Camile Durrant Nurse's Aide 13800 Fairhill Rd, 115, Shaker Heights, OH 44120 2018-03-03
1144749904 Alliant Health Services Clinic/Center 3535 Lee Road, Shaker Heights, OH 44120 2017-09-13
1972025864 Eugene Platts Jr. Counselor 12024 Shaker Blvd # 502, Cleveland, OH 44120 2017-07-12
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Taxonomy Information

Taxonomy Code 173000000X
Grouping Other Service Providers
Classification Legal Medicine

Taxonomy Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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1730189408 Joseph E Goin Legal Medicine 108 S William Barnett Ave, Cleveland, TX 77327-4542 2005-07-26
1811284458 Shrif Joseph Costandi Legal Medicine 9500 Euclid Ave, C-25, Cleveland, OH 44195-0001 2011-07-04
1346454360 James Sego Do Internal Medicine Legal Medicine 1510 Stuart Rd Ne, Suite 106, Cleveland, TN 37312-5858 2007-05-09
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1033575931 Jill Cox Legal Medicine 130 Oakley Ave, Boardman, OH 44512-3419 2016-01-07
1396097549 Obstetrics & Gynecology South, Inc Legal Medicine 2510 Commons Blvd Ste 200a, Beavercreek, OH 45431-3829 2012-10-12
1447530704 James P. D'apolito Md Pediatrics, Inc. Legal Medicine 4316 Belmont Ave, Youngstown, OH 44505-1006 2011-08-18
1013158591 Crosswoods Pediatrics Legal Medicine 760 Lakeview Plaza Blvd, Suite 500, Worthington, OH 43085-4734 2009-03-13
1366632960 James B. Nagle, M.d., Inc. Legal Medicine 207 E Stroop Rd, Kettering, OH 45429-2825 2007-07-30
1700928843 Khalid Darr Legal Medicine 5510 Pearl Rd Ste 205, Parma, OH 44129-2550 2007-02-13
1235297466 Jack Gordon Jones Legal Medicine 1660 Akron Peninsula Rd, Suite 101, Akron, OH 44313-5189 2006-12-04
1568478626 Mark John Piacentini Legal Medicine 102 E Water St, Prospect, OH 43342 2006-07-31
1427075159 Michael J. Rozen Legal Medicine 10901 Reed Hartman Hwy, Cincinnati, OH 45242-2831 2006-07-17
1396788212 Harley A Grim Legal Medicine 237 William Howard Taft Rd Fl 2, Cincinnati, OH 45219-2610 2006-06-14
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Competitor

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City CLEVELAND
Zip Code 44120

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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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