NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC. (NPI# 1659407682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659407682 |
Entity Type | Organization |
Organization Name | NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC. |
Other Organization Name | SUPERIOR HEALTH CENTER PHARMACY |
Practice Address |
12100 Superior Ave Cleveland OH 44106-1444 |
Practice Telephone | 2168512600 |
Mailing Telephone | 2168512600 |
Enumeration Date | 2007-02-26 |
Last Update Date | 2008-05-29 |
Authorized Official Name | WILLIE F. AUSTIN (PRESIDENT & CEO) |
Authorized Official Telephone | 2162317700 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
3653210 | OH | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0154863 | 05 |
Other Name | Type Code |
---|---|
Superior Health Center Pharmacy | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891287439 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 10505 Saint Clair Ave Ste 101, Cleveland, OH 44108-1973 | 2018-05-30 |
1114275310 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 15320 Euclid Ave, Cleveland, OH 44112-2806 | 2012-08-17 |
1407874589 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 1468 E 55th St, Cleveland, OH 44103-1307 | 2006-07-17 |
1013940949 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 13301 Miles Ave, Cleveland, OH 44105-5521 | 2006-07-07 |
1033142989 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 15201 Euclid Ave, East Cleveland, OH 44112-2803 | 2006-07-07 |
1346272267 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 15322 Saint Clair Ave, Cleveland, OH 44110-3043 | 2006-07-07 |
1649201732 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2006-07-06 |
1578055174 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 10505 Saint Clair Ave Ste 101, Cleveland, OH 44108-1973 | 2018-05-31 |
1477097061 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 15320 Euclid Ave, East Cleveland, OH 44112-2806 | 2016-12-15 |
1124487681 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 9127 Miles Ave, Cleveland, OH 44105-6136 | 2016-02-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC. | 4800 Payne Ave, Cleveland, OH 44103-2443 |
Street Address |
12100 SUPERIOR AVE |
City | CLEVELAND |
State | OH |
Zip Code | 44106-1444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649201732 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2006-07-06 |
1720551724 | Tevis Jerome Gordon-crawford | Nurse Practitioner | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2019-01-02 |
1497117337 | Jane Molina | Nurse Practitioner | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2016-03-21 |
1114282704 | Aldyn Jerome Muthra | Dentist | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2012-07-10 |
1972882157 | Falandia Milligan | Nurse Practitioner | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2011-08-05 |
1801119045 | Marcia Jane Riegger | Advanced Practice Midwife | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2010-03-02 |
1598920191 | Raymond Samaroo | Dentist | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2008-07-23 |
1730375999 | Nazly Pashmini | Internal Medicine | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2007-09-21 |
1467534164 | Pamela L. Redden | Internal Medicine | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2006-10-20 |
1861581944 | Judith C. Nuza | Advanced Practice Midwife | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2006-10-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
Find all providers in zip 44106 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932764941 | Take Charge Nutrition, LLC | Pharmacy | 1690 25th St Nw Ste D, Cleveland, TN 37311-3613 | 2019-05-06 |
1811979420 | The Cleveland Clinic Foundation | Pharmacy | 2049 E 100th St, Cleveland, OH 44195-0001 | 2005-11-18 |
1245212869 | The Cleveland Clinic Foundation | Pharmacy | 8950 Euclid Ave, Cleveland, OH 44106-2971 | 2005-11-18 |
1851373476 | The Cleveland Clinic Foundation | Pharmacy | 10201 Carnegie Ave, Cleveland, OH 44106-2130 | 2005-11-18 |
1043291784 | The Cleveland Clinic Foundation | Pharmacy | 9211 Euclid Ave, Jj10 Pharmacy, Cleveland, OH 44106-2043 | 2005-11-09 |
1124640347 | Health Center of Southeast Texas | Pharmacy | 307 N William Barnett Ave, Cleveland, TX 77327-4061 | 2020-05-11 |
1205327095 | Neighborhood Health Care Incorporated | Pharmacy | 3569 Ridge Rd, Cleveland, OH 44102-5443 | 2018-05-29 |
1588049779 | Care Alliance | Pharmacy | 2916 Central Ave, Cleveland, OH 44115-3229 | 2015-07-29 |
1932235983 | Northeast Ohio Neighborhood Health Services, Inc. | Pharmacy | 15322 Saint Clair Ave, Cleveland, OH 44110-3043 | 2007-02-26 |
1841326899 | Northeast Ohio Neighborhood Health Services, Inc. | Pharmacy | 13301 Miles Ave, Cleveland, OH 44105-5521 | 2007-02-26 |
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.