CLINIC MEDICAL SERVICES COMPANY (NPI# 1528013984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528013984 |
| Entity Type | Organization |
| Organization Name | CLINIC MEDICAL SERVICES COMPANY |
| Other Organization Name | CLEVELAND CLINIC STAR IMAGING |
| Practice Address |
9500 Euclid Ave Cleveland OH 44195-0001 |
| Mailing Address |
6100 W Creek Rd Suite 35 Independence OH 44131-2133 |
| Practice Telephone | 2166428165 |
| Practice Fax Number | 2166421064 |
| Mailing Telephone | 2169864665 |
| Mailing Fax Number | 2166421064 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | MS. DIANE M MAIORANA (PROJECT MANAGER) |
| Authorized Official Telephone | 2169864665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2197993 | 05 |
| Other Name | Type Code |
|---|---|
| Cleveland Clinic Star Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215234976 | Clinic Medical Services Company | Radiology | 1449 Boardman Canfield Rd Ste 140, Boardman, OH 44512-8070 | 2011-02-16 |
| 1508024209 | Clinic Medical Services Company | Radiology | 1550 Kenny Rd, Columbus, OH 43212-2564 | 2008-05-29 |
| 1124286828 | Clinic Medical Services Company | Radiology | 921a Jasonway Ave, Columbus, OH 43214-2330 | 2008-05-29 |
| 1992963680 | Clinic Medical Services Company | Radiology | 652 Youngstown Warren Rd, Niles, OH 44446-4356 | 2008-05-29 |
| 1407259849 | Clinic Medical Services Company | Radiology | 5529 Far Hills Ave, Dayton, OH 45429-2225 | 2014-09-30 |
| 1306145040 | Clinic Medical Services Company | Radiology | 6096 E Main St, Suite 100, Columbus, OH 43213-4302 | 2011-03-21 |
| 1659539344 | Clinic Medical Services Company | Radiology | 7067 Tiffany Blvd, Youngstown, OH 44514-1993 | 2008-05-29 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 44195 | ||||
| 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.