JUAN PABLO MORENO PEREZ (NPI# 1497145585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497145585 |
Entity Type | Individual |
Full Name | JUAN PABLO MORENO PEREZ |
Credential | MD |
Practice Address |
9500 Euclid Ave Cleveland OH 44195-0001 |
Practice Telephone | 2164442200 |
Practice Fax Number | 2164449324 |
Mailing Telephone | 2164442200 |
Mailing Fax Number | 2164449324 |
Enumeration Date | 2015-01-28 |
Last Update Date | 2015-01-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
57.025631 | OH | Allopathic & Osteopathic Physicians |
Street Address |
9500 EUCLID AVE |
City | CLEVELAND |
State | OH |
Zip Code | 44195-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144223231 | Terence Lee Gutgsell | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2005-05-23 |
1376144469 | Michael Trompak | Registered Nurse | 9500 Euclid Ave, Cleveland, OH 44195-0002 | 2020-11-04 |
1932700465 | Larisa Sopka | Registered Nurse | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-11-02 |
1760082697 | Sherry Jones | Registered Nurse | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-29 |
1518566157 | Warren Kothrade | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-24 |
1962000364 | Ethan A Weist | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0002 | 2020-10-16 |
1811595861 | Jennifer White | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-13 |
1306443668 | Maria Redden | Physical Therapist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-08 |
1679170351 | Joelle Marie Williams | Social Worker | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-06 |
1649877259 | Benita Bryant | Social Worker | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265041107 | Rachael Kaplan | Nurse Practitioner | Cleveland Clinic Anesthesia Institute, 9500 Euclid Ave, Cleveland, OH 44195 | 2020-07-27 |
1831707967 | Sarah Mcgee | Genetic Counselor, MS | 9500 Euclid Ave R4, Cleveland, OH 44195 | 2020-07-15 |
1578192134 | Cassandra Garraud | Student in an Organized Health Care Education/Training Program | 9500 Euclid Avenue Na-23, Cleveland, OH 44195 | 2020-04-06 |
1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
1326527961 | Varinder Kaur Randhawa | Internal Medicine | Cleveland Clinic - Main Campus, 9500 Euclid Avenue, Cleveland, OH 44195 | 2018-08-13 |
1487148029 | Larissa Caitlin Combs | Anesthesiology | 9500 Euclid Avenue/na-23, Cleveland, OH 44195 | 2018-06-18 |
1306335237 | Sarah Elizabeth Mazzola | Genetic Counselor, MS | 9500 Euclid Ave Ne 50, Genomic Medicine Institute, Cleveland, OH 44195 | 2018-05-07 |
1841788593 | Yirka Vacca | Orthopaedic Surgery | Cleveland Clinic 9500 Euclid Avenue A-40, Cleveland, OH 44195 | 2018-04-27 |
1174010144 | Natalie W. Weigand | Nurse Practitioner | 9500 Euclid Avenue A81, Cleveland, OH 44195 | 2018-04-16 |
1164924114 | Baha'eddin Ahmad Ibrahim Muhsen | Neurological Surgery | 10201 Carnegie Ave, Ca Building, Cleveland, OH 44195 | 2018-03-06 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659993459 | Matt Thompson | Surgery | Department of Vascular Surgery 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-05-14 |
1235541640 | Jon Garrett Quatromoni | Surgery | Mail Code F30 9500 Euclid Avenue, Cleveland, OH 44195-4238 | 2014-05-20 |
1336364991 | Christopher John Smolock | Surgery | Cleveland Clinic Department of Vascular, 9500 Euclid Ave, Mailcode: H32, Cleveland, OH 44195-0001 | 2007-04-17 |
1912916560 | Levester Kirksey | Surgery | 9300 Euclid Ave, Cleveland, OH 44195-3304 | 2006-08-05 |
1780206052 | Keith Matthew Garber | Surgery | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-05-10 |
1477100998 | Abdullah Mohammadrafiq I Abdullah | Surgery | 11100 Euclid Ave, Mailstop Lks 5038, Cleveland, OH 44106-1716 | 2019-08-20 |
1497101224 | Wadi Binsaddiq | Surgery | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-05-11 |
1538588272 | Gabriel Crowl | Surgery | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2014-04-09 |
1891137402 | Ravi Narendra Ambani | Surgery | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2013-07-24 |
1366881385 | Jarrad Wyche Rowse | Surgery | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2013-06-24 |
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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.