LOUIS STOKES CLEVELAND VA MEDICAL CENTER (NPI# 1669897781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669897781 |
| Entity Type | Organization |
| Organization Name | LOUIS STOKES CLEVELAND VA MEDICAL CENTER |
| Practice Address |
10701 East Blvd Radiology; Room 114(w) Cleveland OH 44106-1702 |
| Practice Telephone | 2167913800 |
| Practice Fax Number | 2167075964 |
| Mailing Telephone | 2167913800 |
| Mailing Fax Number | 2167075964 |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |
| Authorized Official Name | MS. RENEE FERRARA (BUSINESS MANAGER) |
| Authorized Official Telephone | 2167913800 |
| Authorized Official Credential | MBA/HCA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033394614 | Louis Stokes Cleveland Va Medical Center | Special Hospital | 27030 Cedar Rd Apt 1212, The Hamptons, Beachwood, OH 44122-1195 | 2008-01-02 |
| 1871982538 | Louis Stokes Cleveland Va Medical Center | Pharmacist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2015-01-20 |
| Street Address |
10701 EAST BLVD RADIOLOGY; ROOM 114(W) |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208939 | Beverly A Wisdom | Physician Assistant | 10701 East Blvd, Suite 1b 236, Cleveland, OH 44106-1702 | 2005-07-13 |
| 1013517366 | Michael Nielsen | Recreational Therapist Assistant | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-10-27 |
| 1063010692 | Hailey L Thomas | Dietitian, Registered | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-10-15 |
| 1588262406 | Kinxian Thach | Registered Nurse | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-10-13 |
| 1942817572 | Robin Eminger | Nurse Practitioner | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-09-28 |
| 1396352076 | Brittany B Boykin | Respiratory Therapist, Registered | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-09-28 |
| 1669086955 | Colleen A Gepperth | Nurse Practitioner | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-09-03 |
| 1588277966 | Tarah Midy | Psychologist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-08-26 |
| 1710590062 | Colleen Licursi | Social Worker | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-08-26 |
| 1952913873 | Shivali Dyal Singh | Pharmacist | 10701 East Blvd, Cleveland, OH 44106 | 2020-08-21 |
| 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 | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649379553 | Radiation Therapy Associates PC | Clinic/Center | 2620 Peerless Rd Nw, Cleveland, TN 37312-3732 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326368929 | Td Oncology Services LLC | Clinic/Center | 2452 Kipling Ave, Cincinnati, OH 45239-6650 | 2010-06-04 |
| 1932139607 | Cancer Network of West Central Ohio | Clinic/Center | 2160 Ewing Crawfis Circle, Bellefontaine, OH 43311-9042 | 2006-07-05 |
| 1053348904 | Cancer Network of West Central Ohio | Clinic/Center | 900 Havemann Road, Celina, OH 45822-1870 | 2006-06-27 |
| 1740590397 | Skpr Oh 1 LLC | Clinic/Center | 915 10th St, Portsmouth, OH 45662-4152 | 2010-10-18 |
| 1962735852 | Northern Ohio Regional Cancer Center | Clinic/Center | 5260 Smith Rd, Brook Park, OH 44142-1747 | 2009-09-10 |
| 1730310921 | University Hospitals Medical Group, Inc. | Clinic/Center | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2009-08-05 |
| 1558358309 | Toledo Radiation Oncology, Inc | Clinic/Center | 4841 Monroe St, Suite 103, Toledo, OH 43623-4385 | 2005-10-05 |
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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.