CLEVELAND MEDICAL CLINIC INC (NPI# 1457522633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457522633 |
| Entity Type | Organization |
| Organization Name | CLEVELAND MEDICAL CLINIC INC |
| Other Organization Name | WESTSIDE NEUROLOGY SERVICES |
| Practice Address |
2700 Westside Dr Nw Suite 306 Cleveland TN 37312-3699 |
| Practice Telephone | 4235767575 |
| Mailing Telephone | 4235767575 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | DEBBIE T BREWER (DIRECTOR) |
| Authorized Official Telephone | 6154657626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Westside Neurology Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720149222 | Cleveland Medical Clinic Inc | Pain Medicine | 2305 Chambliss Ave, Cleveland, TN 37320 | 2006-12-12 |
| 1457350951 | Cleveland Medical Clinic Inc | Nurse Practitioner | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2005-07-18 |
| Street Address |
2700 WESTSIDE DR NW SUITE 306 |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-3699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295730901 | Jan Susan Burleson | Social Worker | 2700 Westside Dr Nw, Ste 309, Cleveland, TN 37312-3699 | 2005-06-17 |
| 1538544028 | Amanda Suzanne Linden | Nurse Practitioner | 2700 Westside Dr Nw, Suite 200, Cleveland, TN 37312-3699 | 2015-07-25 |
| 1336566496 | Dynamic Prosthetic & Orthotic, LLC | Durable Medical Equipment & Medical Supplies | 2700 Westside Dr Nw, Suite 306, Cleveland, TN 37312-3699 | 2014-03-26 |
| 1396979233 | Paul Daniel Boerema | Family Medicine | 2700 Westside Dr Nw, Suite 103, Cleveland, TN 37312-3699 | 2009-05-06 |
| 1205091865 | Douglas J Heming | Physical Therapist | 2700 Westside Dr Nw, Suite 301, Cleveland, TN 37312-3699 | 2008-07-23 |
| 1972770063 | Stephen V. Dreskin Md PC | Pain Medicine | 2700 Westside Dr Nw, Suite 306, Cleveland, TN 37312-3699 | 2008-05-08 |
| 1982872941 | Delisa A Dickerson | Physical Therapy Assistant | 2700 Westside Dr Nw, Suites 301 & 309, Cleveland, TN 37312-3699 | 2008-02-12 |
| 1558545418 | Dynamic Prosthetic & Orthotic | Prosthetic/Orthotic Supplier | 2700 Westside Dr Nw, Suite 306, Cleveland, TN 37312-3699 | 2007-12-27 |
| 1215116231 | Voytik Center for Orthopedic Care, PC | Physician Assistant | 2700 Westside Dr Nw, Suite 301, Cleveland, TN 37312-3699 | 2007-10-25 |
| 1376682021 | Family Medicine Center | Clinic/Center | 2700 Westside Dr Nw, Suite 103, Cleveland, TN 37312-3699 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632641 | Premier Neurology LLC | Psychiatry & Neurology | 1730 W 25th St Ste 3a, Cleveland, OH 44113-3108 | 2019-01-10 |
| 1184075491 | Marek Cierny | Psychiatry & Neurology | 9500 Euclid Ave # S80, Cleveland, OH 44195-3522 | 2016-06-28 |
| 1831591510 | Patrick Chauvel | Psychiatry & Neurology | Cleveland Clinic Epilepsy Ctr, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2014-09-24 |
| 1538424072 | East Tn Neurology LLC | Psychiatry & Neurology | 2253 Chambliss Ave. Nw, Suite 405, Cleveland, TN 37311-3861 | 2012-07-11 |
| 1720341340 | Brandon Moss | Psychiatry & Neurology | 9500 Euclid Ave # U-10, Cleveland, OH 44195 | 2012-06-19 |
| 1225394703 | Kedar Mahajan | Psychiatry & Neurology | Mellen Ctr, 9500 Euclid Ave Mail Code U-10, Cleveland, OH 44195-0001 | 2012-04-09 |
| 1902190143 | Jessica Rochelle Fesler | Psychiatry & Neurology | 9500 Euclid Ave # S51, Cleveland, OH 44195-5023 | 2011-06-06 |
| 1629379078 | Bolivar Physician Practices LLC | Psychiatry & Neurology | 903 East Sunflower Rd, Suite 400, Cleveland, MS 38732-2551 | 2010-11-16 |
| 1316247364 | Adham Jammoul | Psychiatry & Neurology | 11328 Euclid Ave Apt 502, Cleveland, OH 44106-5108 | 2010-10-25 |
| 1720318355 | Hesham Ahmed Abboud | Psychiatry & Neurology | 9500 Euclid Avenue, Desk U10, Cleveland Clinic, Cleveland, OH 44195-0001 | 2010-01-04 |
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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.