MARIEL ANN HARRIS (NPI# 1588871875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588871875 |
| Entity Type | Individual |
| Full Name | MARIEL ANN HARRIS |
| Credential | MD |
| Practice Address |
One David N Myers Parkway Beachwood OH 44122 |
| Mailing Address |
11100 Euclid Ave Mailstop Han 6095 Cleveland OH 44106-1716 |
| Practice Telephone | 2169102641 |
| Practice Fax Number | 2169102777 |
| Mailing Telephone | 2164646453 |
| Mailing Fax Number | 2164646403 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
35-055569 | OH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 33055569 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
22992 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | UNISON # | 000000225049 | 01 |
| OH | AETNA # | 4320316 | 01 |
| OH | BUCKEYE # | 751150 | 01 |
| OH | 0679663 | 05 | |
| OH | RAILROAD MEDICARE | P00432289 | 01 |
| OH | WELLCARE # | 414975 | 01 |
| OH | ANTHEM # | 000000537785 | 01 |
| Street Address |
ONE DAVID N MYERS PARKWAY |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538239314 | Montefiore Home | Durable Medical Equipment & Medical Supplies | One David N Myers Parkway, Beachwood, OH 44122 | 2006-11-08 |
| 1700277126 | Montefiore Home | Family Medicine | One David N Myers Parkway, Beachwood, OH 44122-1162 | 2015-02-06 |
| 1508167222 | Luann J Capone | Nurse Practitioner | One David N Myers Parkway, Beachwood, OH 44122 | 2010-11-11 |
| 1306165154 | Montefiore Physician Corporation Inc | Internal Medicine | One David N Myers Parkway, Beachwood, OH 44122-1162 | 2010-05-19 |
| 1225183395 | Montefiore Home | Home Health | One David N Myers Parkway, Beachwood, OH 44122 | 2007-01-25 |
| 1205981321 | Montefiore Home | Hospice Care, Community Based | One David N Myers Parkway, Beachwood, OH 44122 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679832919 | Judith Frances Gooding | Internal Medicine | 21625 Chagrin Blvd, Beachwood, OH 44122-5363 | 2012-05-07 |
| 1891990511 | Bruce M Lowrie Md Inc | Internal Medicine | 23250 Chagrin Blvd, Ste # 150, Beachwood, OH 44122-5470 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298119 | Np Insight | Internal Medicine | 4996 Pigeon Run Rd Sw, Navarre, OH 44662-8123 | 2020-06-01 |
| 1164082764 | Phoenix Help LLC | Internal Medicine | 7215 Winding Way, Cincinnati, OH 45236-3340 | 2019-06-17 |
| 1790343846 | Geriatric Care Providers Inc | Internal Medicine | 2605 Greenbrier Ct, Beavercreek, OH 45431-8564 | 2019-06-04 |
| 1538698568 | David John Donofrio | Internal Medicine | 6427 Stonecrest Dr, Brookpark, OH 44142-3767 | 2017-06-04 |
| 1346690757 | Detroit 74th Medical Clinic Inc | Internal Medicine | 4805 Lorain Ave, Cleveland, OH 44102-3351 | 2016-06-16 |
| 1245610179 | Sarah Hyun Hong Min | Internal Medicine | 2355 Norwood Ave Ste 1, Cincinnati, OH 45212-2750 | 2015-06-05 |
| 1326434127 | Hiba Khan | Internal Medicine | 1950 E 89th Street, Cleveland, OH 44195-1003 | 2015-04-09 |
| 1184927287 | Range Health Care Services LLC | Internal Medicine | 4875 Union Rd, Franklin, OH 45005-5127 | 2010-12-10 |
| 1366622623 | Peter Dillard Md Inc | Internal Medicine | 3237 Ormond Rd, Cleveland Heights, OH 44118-3415 | 2007-11-05 |
| 1427261692 | Preeti Betkerur | Internal Medicine | 75th Arch St, Suite G 2, Akron, OH 44304 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
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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.