MRS. MAXINE PAULRAJ-CHARLES (NPI# 1679825947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679825947 |
Entity Type | Individual |
Full Name | MRS. MAXINE PAULRAJ-CHARLES |
Credential | CNP |
Practice Address |
26908 Detroit Rd Ste. 200 Westlake OH 44145-2398 |
Mailing Address |
22665 Bard Ave Fairview Park OH 44126-2908 |
Practice Telephone | 4402508660 |
Practice Fax Number | 4402508639 |
Mailing Telephone | 4407771867 |
Enumeration Date | 2012-10-10 |
Last Update Date | 2016-09-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA.13561-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0075883 | 05 |
Street Address |
26908 DETROIT RD STE. 200 |
City | WESTLAKE |
State | OH |
Zip Code | 44145-2398 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235139767 | Michael A Adornetto | Internal Medicine | 26908 Detroit Rd, Ste 200, Westlake, OH 44145 | 2005-07-27 |
1063815587 | Lisa Brown | Nurse Practitioner | 26908 Detroit Rd, Suite 200, Westlake, OH 44145-2398 | 2014-09-29 |
1518368034 | Julie Wise | Dietitian, Registered | 26908 Detroit Rd, Suite 200, Westlake, OH 44145-2398 | 2014-09-16 |
1649689639 | Karen Moore | Nurse Practitioner | 26908 Detroit Rd, Suite 301, Westlake, OH 44145-2398 | 2014-08-05 |
1871904227 | Brittany Morgan Peters | Nurse Practitioner | 26908 Detroit Rd, Ste. 200, Westlake, OH 44145-2398 | 2014-05-19 |
1144650227 | Vanessa Duber | Nurse Practitioner | 26908 Detroit Rd, Suite 200, Westlake, OH 44145-2398 | 2013-11-26 |
1649610114 | Muhammad Raihan Malik | Internal Medicine | 26908 Detroit Rd, Ste. 200, Westlake, OH 44145-2398 | 2013-06-28 |
1467796417 | Julie Ellen Bradford | Nurse Practitioner | 26908 Detroit Rd, Ste. 200, Westlake, OH 44145-2398 | 2012-11-15 |
1942564802 | Mary E Klecka | Internal Medicine | 26908 Detroit Rd, Ste. 200, Westlake, OH 44145-2398 | 2012-06-26 |
1346537685 | Hidradenitis Suppurativa Institute, LLC | Dermatology | 26908 Detroit Rd, Suite 103, Westlake, OH 44145-2398 | 2011-07-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
Find all providers in zip 44145 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033610837 | Chelsea Marie Maiberger | Nurse Practitioner | 27442 Dunford Rd, Westlake, OH 44145-5344 | 2018-02-27 |
1740705003 | Jennifer Marie Petersen | Nurse Practitioner | 1892 Bassett Rd, Westlake, OH 44145-1909 | 2017-08-08 |
1265889232 | Anne M Hanzel | Nurse Practitioner | 25200 Center Ridge Rd Ste 2600, Westlake, OH 44145-4142 | 2016-05-19 |
1184001745 | Lorain County Correctional Institution | Nurse Practitioner | 1421 Bradley Rd, Westlake, OH 44145-1721 | 2015-05-04 |
1619319118 | Kimberly May | Nurse Practitioner | 1409 Fitzroy St, Westlake, OH 44145-2473 | 2013-07-24 |
1154763753 | Patricia Ann Shipley | Nurse Practitioner | 29636 Indian Ridge Cv, Westlake, OH 44145 | 2013-07-24 |
1508896754 | Gabriella Mccarty | Nurse Practitioner | 850 Columbia Rd Ste 200, Westlake, OH 44145-7215 | 2006-07-04 |
1356995138 | Nicole M Zambory | Nurse Practitioner | 850 Columbia Rd Ste 200, Westlake, OH 44145-7215 | 2019-07-30 |
1497271654 | Carrie L. Astrab | Nurse Practitioner | 26908 Detroit Rd Ste 200, Westlake, OH 44145 | 2017-08-19 |
1841720281 | Sandra Blackburn | Nurse Practitioner | 27991 Center Ridge Rd, Westlake, OH 44145-3902 | 2017-06-18 |
Find all providers in WESTLAKE |
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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.