ELEANOR J GOTTESMAN (NPI# 1588672265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588672265 |
| Entity Type | Individual |
| Full Name | ELEANOR J GOTTESMAN |
| Credential | MD, MPA |
| Practice Address |
2816 E 116th St Metrohealth Buckeye Health Center Cleveland OH 44120-2111 |
| Practice Telephone | 2169574000 |
| Mailing Telephone | 2169574000 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35051927 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0826888 | 05 | |
| OH | BWC | 3034625100 | 01 |
| Street Address |
2816 E 116TH ST METROHEALTH BUCKEYE HEALTH CENTER |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44120-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285889 | Charlene Laster | Pharmacist | 2816 E 116th St, Cleveland, OH 44120-2111 | 2005-09-15 |
| 1952844870 | Yang Ji Jung | Pharmacist | 2816 E 116th St, Cleveland, OH 44120-2111 | 2016-11-25 |
| 1912236563 | Wanda Elizabeth Price | Pharmacist | 2816 E 116th St, Cleveland, OH 44120-2111 | 2009-12-10 |
| 1427269612 | William L. Brown | Pharmacist | 2816 E 116th St, Cleveland, OH 44120-2111 | 2007-05-27 |
| 1255496394 | Brenda J Smith | Internal Medicine | 2816 E 116th St, Metrohealth Buckeye Health Center, Cleveland, OH 44120-2111 | 2006-12-27 |
| 1073607701 | Anita P Redahan | Internal Medicine | 2816 E 116th St, Metrohealth Buckeye Health Center, Cleveland, OH 44120-2111 | 2006-10-03 |
| 1992808885 | Thomas A Fuller | Internal Medicine | 2816 E 116th St, Metrohealth Buckeye Health Center, Cleveland, OH 44120-2111 | 2006-09-06 |
| 1104928803 | Gwen K Glazer | Pediatrics | 2816 E 116th St, Metrohealth Buckeye Health Center, Cleveland, OH 44120-2111 | 2006-09-02 |
| 1285736918 | James A Leu | Pediatrics | 2816 E 116th St, Metrohealth Buckeye Health Center, Cleveland, OH 44120-2111 | 2006-09-02 |
| 1205944063 | Philip A Fragassi | Pediatrics | 2816 E 116th St, Metrohealth Buckeye Health Center, Cleveland, OH 44120-2111 | 2006-08-29 |
| Find all providers in the same location | ||||
| 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 |
| 1942739438 | Aaliyah Fields | Nurse Practitioner | 3070 Becket Rd, Cleveland, OH 44120 | 2017-06-08 |
| Find all providers in zip 44120 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456322 | Basim Mikhail | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-04 |
| 1376997643 | Emily Nhu Cao | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2016-04-22 |
| 1457788960 | Florence Kimbo M.d., LLC | Psychiatry & Neurology | 18660 Bagley Rd Bldg 1, Suite 404, Cleveland, OH 44130-3483 | 2013-09-28 |
| 1396087953 | Shivnaveen Bains | Psychiatry & Neurology | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2013-03-21 |
| 1407141559 | Priya Vaidya Shrestha | Psychiatry & Neurology | 10524 Euclid Ave, Cleveland, OH 44106-2205 | 2011-06-16 |
| 1275846669 | Stephanie Mae Pope | Psychiatry & Neurology | 11100 Euclid Ave, University Hospitals Case Medical Center, Cleveland, OH 44106-1716 | 2010-07-14 |
| 1760707103 | Jason Vincent Lambrese | Psychiatry & Neurology | 9500 Euclid Ave # P57, Cleveland, OH 44195-0002 | 2010-03-29 |
| 1194954826 | Imran M Shakir | Psychiatry & Neurology | 10524 Euclid Ave, Cleveland, OH 44106-2205 | 2009-07-01 |
| 1891973608 | Mackenzie Varkula | Psychiatry & Neurology | 18101 Lorain Ave, Ppsy, Cleveland, OH 44111-5612 | 2008-02-04 |
| 1235326992 | Mary Celestine Hall Mennes | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2007-09-26 |
| 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.