ST VINCENT CHARITY MEDICAL CENTER (NPI# 1710951801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710951801 |
| Entity Type | Organization |
| Organization Name | ST VINCENT CHARITY MEDICAL CENTER |
| Other Organization Name | ST VINCENT CHARITY MEDICAL CENTER |
| Practice Address |
2351 E 22nd St Cleveland OH 44115-3111 |
| Mailing Address |
6935 Treeline Dr Suite J Brecksville OH 44141-3393 |
| Practice Telephone | 2168616200 |
| Practice Fax Number | 4407463405 |
| Mailing Telephone | 4407463401 |
| Mailing Fax Number | 4407463405 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2011-11-17 |
| Authorized Official Name | MR. JOHN RUSNACZYK (SENIOR VP & CFO) |
| Authorized Official Telephone | 2163637718 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CARESOURCE | 2137410001 | 01 |
| BLACK LUNG | 304978 | 01 | |
| UNITED HEALTHCARE | 5000072 | 01 | |
| OH | MEDICAL MUTUAL OF OHIO | 341893452005 | 01 |
| OH | PEOPLES HEALTH PLAN | 7649709 | 01 |
| MAGELLAN BEHAVIORAL HLTH | 016984000 | 01 | |
| OH | MEDICAL MUTUAL OF OHIO CD | 34189342007 | 01 |
| OH | BUREAU WORKERS' COMPENSAT | 34189345202 | 01 |
| OH | 3009523 | 05 | |
| OH | QUALCHOICE | 81312 | 01 |
| ANTHEM | 000000157500 | 01 | |
| OH | 7649709 | 05 | |
| AETNA US HEALTHCARE | 0009438 | 01 | |
| CHAMPUS | 341893452001 | 01 | |
| DEPARTMENT OF LABOR | 615124400 | 01 |
| Other Name | Type Code |
|---|---|
| St Vincent Charity Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053682690 | St Vincent Charity Medical Center | General Acute Care Hospital | 1700 E 13th St Apt 21x, Cleveland, OH 44114-3223 | 2012-01-12 |
| 1962566844 | St Vincent Charity Medical Center | Pharmacy | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2006-12-21 |
| 1083637912 | St Vincent Charity Medical Center | Rehabilitation, Substance Use Disorder Unit | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2006-07-25 |
| 1154395820 | St Vincent Charity Medical Center | Psychiatric Unit | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2006-02-17 |
| 1942274840 | St Vincent Charity Medical Center | Clinic/Center | 2475 E 22nd St, Suite 310, Cleveland, OH 44115-3221 | 2006-02-15 |
| Street Address |
2351 E 22ND ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528051661 | Cynthia L Brown | Internal Medicine | 2351 E 22nd St, St Vincent Charity Hospital Attn: Gma Consultants, Cleveland, OH 44115-3111 | 2005-08-24 |
| 1679186894 | Francisco J Somoza-cano | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-27 |
| 1992317879 | Patil Sarkis Balozian | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-20 |
| 1205448800 | Faris Hammad | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-17 |
| 1043820525 | Mohamad H E Alsaed | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-09 |
| 1245849892 | Mohammad Haidous | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-29 |
| 1982212593 | David Perse Md, LLC | Surgery | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-20 |
| 1659989275 | Jeremy Perse, Dpm, LLC | Podiatrist | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-20 |
| 1356969281 | Krista Michelle Wong | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-07 |
| 1538785233 | Sanjul Prakash Patel | Student in an Organized Health Care Education/Training Program | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649628595 | Gina John | General Acute Care Hospital | 14205 Liberty Ave, Cleveland, OH 44135-1461 | 2016-06-01 |
| 1053682690 | St Vincent Charity Medical Center | General Acute Care Hospital | 1700 E 13th St Apt 21x, Cleveland, OH 44114-3223 | 2012-01-12 |
| 1528348208 | Cleveland Clinic | General Acute Care Hospital | 9500 Euclid Ave # Q10, Cleveland, OH 44195-0001 | 2011-08-25 |
| 1992097711 | University Hospital | General Acute Care Hospital | 6841 Day Dr Apt 801, Cleveland, OH 44129-5450 | 2011-05-12 |
| 1306177514 | Michel Pierre Moreau | General Acute Care Hospital | 9500 Euclid Ave # 31, Cleveland, OH 44195-0001 | 2010-01-28 |
| 1518197243 | Cleveland Clinic Foundation | General Acute Care Hospital | 13700 Fairhill Rd Apt 401, Cleveland, OH 44120-1275 | 2009-07-15 |
| 1336316389 | Cleveland Clinic | General Acute Care Hospital | Cleveland Clinic 9500 Euclid Ave H35, Cardiothoracic Surgery, Cleveland, OH 44195-0001 | 2008-05-09 |
| 1548430275 | Cleveland Clinic | General Acute Care Hospital | A30, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2008-03-10 |
| 1306014451 | University Hospitals | General Acute Care Hospital | 11400 Euclid Ave, Cleveland, OH 44106-5943 | 2008-02-12 |
| 1780874206 | University Hospitals Health System | General Acute Care Hospital | 11100 Euclid Ave, Lks 5029, Cleveland, OH 44106 | 2007-07-31 |
| 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.