DR. BRAXTON MCCLUNG (NPI# 1497934202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497934202 |
| Entity Type | Individual |
| Full Name | DR. BRAXTON MCCLUNG |
| Credential | M.D. |
| Practice Address |
4853 Galaxy Pkwy Suite I Cleveland OH 44128-5973 |
| Practice Telephone | 2168319786 |
| Practice Fax Number | 2168312425 |
| Mailing Telephone | 2168319786 |
| Mailing Fax Number | 2168312425 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2014-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35.098082 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA | 9079891 | 01 |
| PA | 1027686330001 | 05 | |
| OH | KAISER | 204881619 | 01 |
| OH | 0064093 | 05 | |
| OH | CARESOURCE | 204881619259 | 01 |
| OH | RAILROAD MEDICARE | P01083159 | 01 |
| Street Address |
4853 GALAXY PKWY SUITE I |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44128-5973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205829280 | Bon Chul Koo | Radiology | 4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973 | 2005-08-25 |
| 1114084878 | Andrew Bennett IIi | Radiology | 4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973 | 2007-01-02 |
| 1316016520 | Spencer H. Anderson | Radiology | 4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973 | 2006-11-06 |
| 1083658587 | Hasoon Lee | Radiology | 4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973 | 2006-06-15 |
| 1992749576 | Robert P. Jacobson | Radiology | 4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973 | 2006-06-15 |
| 1639113293 | Robert J. Haller | Radiology | 4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973 | 2006-06-15 |
| 1124061106 | Paul A. Klatte | Radiology | 4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973 | 2006-06-14 |
| 1801839832 | Sherry A. Hillier | Radiology | 4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973 | 2006-06-14 |
| 1336182435 | David A. Steiger | Radiology | 4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973 | 2006-06-14 |
| 1568405645 | Francis A. Greicius Jr. | Radiology | 4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345286 | Aellen Home Care LLC | In Home Supportive Care | 4731 Country Lane, Apt B30, Warrensville Hts, OH 44128 | 2020-10-29 |
| 1740813450 | Lakeithia Carter | Case Management | 4663 Walford Rd, 6, Warrensville, OH 44128 | 2020-02-20 |
| 1336706795 | Jeanna S Cannon | Home Health Aide | 20571 Ellacott Parkway, Suite 633, Warrensville Hts, OH 44128 | 2019-05-21 |
| 1003301672 | Johnny Cleaver Huff | Peer Specialist | 17005 Deforest Ave, Cleveland, OH 44128 | 2018-06-26 |
| 1952891905 | Golden Hearts Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 19704 Longbrook Rd, Warrensville Heights, OH 44128 | 2018-05-15 |
| 1326537671 | Hollie Irving | Case Manager/Care Coordinator | 3860 E 149th St, Cleveland, OH 44128 | 2018-05-02 |
| 1083128789 | Cherae Daniel | Licensed Practical Nurse | 4101 East 151 Street, Cleveland, OH 44128 | 2017-11-17 |
| 1770007023 | Lynda Robinson | Occupational Therapist | 25001 Emery Rd, Suite 100, Warrensville Hts, OH 44128 | 2017-07-28 |
| 1205285608 | Leslie Johnson | Licensed Practical Nurse | 4085 East 175 Th Street, Cleveland, OH 44128 | 2016-06-07 |
| 1083094742 | Elaina Patterson | Licensed Practical Nurse | 4100 E. 154th St, Cleveland, OH 44128 | 2015-06-08 |
| Find all providers in zip 44128 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568845279 | Rod Momenian | Radiology | 9500 Euclid Ave # Oh44195, Cleveland, OH 44195-1716 | 2015-06-30 |
| 1508123985 | Allan Chiunda | Radiology | Cleveland Clinic Foundation Diagnostic 9500 Ave, Cleveland, OH 44195-0001 | 2012-04-23 |
| 1659652915 | Fatemeh Abdollahi Mofakham | Radiology | 9500 Euclid Ave # A21, Cleveland, OH 44195-0006 | 2011-08-31 |
| 1306008743 | Leah Kim Sieck | Radiology | Crile Building Desk A 10, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2008-06-26 |
| 1962669754 | Aqeel Ahmad Chowdhry | Radiology | 1445 E 105th St, Cleveland, OH 44106-1137 | 2008-05-20 |
| 1912174954 | Laura Hagen Dean | Radiology | 9500 Euclid Ave # A10, Cleveland, OH 44195-0001 | 2008-05-09 |
| 1164610671 | Claus Simpfendorfer | Radiology | 9500 Euclid Ave - Desk A21, Cleveland, OH 44195 | 2007-10-10 |
| 1427257716 | Daniel Michael Roesel | Radiology | 9500 Euclid Ave # Hb6, Cleveland, OH 44195-5114 | 2007-07-16 |
| 1124222872 | Christopher Coppa | Radiology | 9500 Euclid Avenue, Hb6, Cleveland Clinic Foundation, Cleveland, OH 44195 | 2007-06-14 |
| 1891900114 | Rosalinn Santa Cruz | Radiology | 25001 Emery Rd Ste 100, Cleveland, OH 44128-5627 | 2007-05-11 |
| Find all providers in CLEVELAND | ||||
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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.