PHYSICIANS PROVIDER SERVICES,INC (NPI# 1609053107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609053107 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS PROVIDER SERVICES,INC |
| Practice Address |
16603 Harvard Ave Cleveland OH 44128-2203 |
| Practice Telephone | 2169215222 |
| Practice Fax Number | 2169216421 |
| Mailing Telephone | 2169215222 |
| Mailing Fax Number | 2169216421 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-09-26 |
| Authorized Official Name | DR. ANDREW JIMERSON (PHYSICIAN) |
| Authorized Official Telephone | 2169215222 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 35041190J | OH | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2183622 | 05 | |
| OH | 0414439 | 05 |
| Street Address |
16603 HARVARD AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44128-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275510372 | Arthur Lb Mateega | Legal Medicine | 16603 Harvard Ave, Cleveland, OH 44128-2203 | 2005-12-29 |
| 1255539631 | Lee Harvard Treatment Inc | Clinic/Center | 16603 Harvard Ave, Cleveland, OH 44128-2203 | 2007-07-06 |
| 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 | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831586577 | Real Care Agency LLC | Preferred Provider Organization | 4573 Lee Rd, Cleveland, OH 44128-3757 | 2015-04-21 |
| 1538560180 | Dana Morgan | Preferred Provider Organization | 985 Stevenson Rd, Cleveland, OH 44110-3175 | 2014-09-12 |
| 1487953105 | Priceless Care | Preferred Provider Organization | 9614 Orleans Ave, Cleveland, OH 44105-2228 | 2011-03-21 |
| 1548390917 | Independentprovider | Preferred Provider Organization | 11501 Mayfield Rd, Cleveland, OH 44106-5942 | 2007-03-06 |
| 1295274447 | Joyce Burnett | Preferred Provider Organization | 17021 Harvard Ave, Cleveland, OH 44128-2211 | 2017-02-21 |
| 1932513694 | N/a | Preferred Provider Organization | 8722 Beckman Ave, Cleveland, OH 44104-2337 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815394 | Kris B Ingram | Preferred Provider Organization | 52 S Beaver St, Carroll, OH 43112-9002 | 2020-09-12 |
| 1235757907 | Ohio Elevator & Lift | Preferred Provider Organization | 9345 Ravenna Rd Unit F, Twinsburg, OH 44087-2452 | 2020-07-09 |
| 1013532746 | Austin Bishop | Preferred Provider Organization | 4271 Glenway Ave, Deer Park, OH 45236-3631 | 2020-06-09 |
| 1891317079 | D Lipold Enterprises LLC | Preferred Provider Organization | 1516 Crossings Pkwy, Westlake, OH 44145-6258 | 2020-05-11 |
| 1780109348 | Nathaniel M. Taylor, Dmd, LLC. | Preferred Provider Organization | 6391 Royalton Rd Ste A, North Royalton, OH 44133-4922 | 2017-08-04 |
| 1982130084 | Sharon Peterson | Preferred Provider Organization | 6118 Mayflower Ave, Cincinnati, OH 45237-4820 | 2017-05-10 |
| 1396285714 | Lisa Hissong | Preferred Provider Organization | 949 Guckert Ave, Newark, OH 43055-2635 | 2017-03-04 |
| 1811439680 | Shannon Vanestine Banks | Preferred Provider Organization | 1908 1st St, Sandusky, OH 44870-3904 | 2016-11-10 |
| 1891244810 | Christopher Bennett Mcgurk | Preferred Provider Organization | 464 Zahn Dr Apt 3, Akron, OH 44313-5556 | 2016-10-03 |
| 1720537780 | Individual | Preferred Provider Organization | 1111 Gonder Avenue Se, Canton, OH 44707 | 2016-09-30 |
| 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.