CLEVELAND PEDIATRIC CLINIC (NPI# 1720010044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720010044 |
| Entity Type | Organization |
| Organization Name | CLEVELAND PEDIATRIC CLINIC |
| Practice Address |
206 S College Ave Cleveland TX 77327-4504 |
| Practice Telephone | 2815926000 |
| Practice Fax Number | 2815929434 |
| Mailing Telephone | 2815926000 |
| Mailing Fax Number | 2815929434 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICK DAVID KELLEY (OWNER) |
| Authorized Official Telephone | 2815926000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
206 S COLLEGE AVE |
| City | CLEVELAND |
| State | TX |
| Zip Code | 77327-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780157412 | Yapmed Incorporated | Physical Therapist | 206 S College Ave, Cleveland, TX 77327-4504 | 2019-01-04 |
| 1114258928 | Heather Lauren King | Nurse Practitioner | 206 S College Ave, Cleveland, TX 77327-4504 | 2010-01-18 |
| 1609055904 | Livingston Pediatric Clinic Pa | Pediatrics | 206 S College Ave, Cleveland, TX 77327-4504 | 2007-11-02 |
| 1659422780 | Howard Go Yap | Physical Therapist | 206 S College Ave, Cleveland, TX 77327-4504 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454525 | Secure Hands, LLC | Home Delivered Meals | 811 Lyle West Ave Unit C, Cleveland, TX 77327 | 2020-07-14 |
| 1598236861 | Noviembre LLC | Pharmacy | 200 E. Boothe Street, Suite 103, Cleveland, TX 77327 | 2018-12-16 |
| 1982191912 | Apn Pharmacy LLC | Pharmacy | 105 N San Jacinto Ave, Cleveland, TX 77327 | 2018-04-16 |
| 1689102642 | Nikki J0 Morgan | Nurse Practitioner | 117 S William Barnett Ave Ste A, Cleveland, TX 77327 | 2017-06-02 |
| 1811439292 | Charlotte Susanne Key | Nurse Practitioner | 211 S College Avenue, Cleveland, TX 77327 | 2016-11-16 |
| 1235439670 | Er Doc 24 7 Pllc | Emergency Medicine | 705 E. Houston St., Cleveland, TX 77327 | 2010-11-02 |
| 1255522447 | Latresha J Mcbride | Pediatrics | 300 E Houston, Ste A, Cleveland, TX 77327 | 2007-08-05 |
| 1104035914 | Lanette C Sikes | Dentist | 117 E Houston, Cleveland, TX 77327 | 2007-05-21 |
| 1285851873 | Randy Lee Davis | Dentist | 429 W. Southline St. Suite#900, Cleveland, TX 77327 | 2007-04-18 |
| 1508996950 | City of Cleveland | Ambulance | 207 E Boothe, Cleveland, TX 77327 | 2007-03-06 |
| Find all providers in zip 77327 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265896872 | Lindsay Brewster | Specialist | 163 County Road 2298, Cleveland, TX 77327-0118 | 2016-04-09 |
| 1972974855 | Ronald Sherman Coleman | Specialist | 343 Leatha Ln Nw, Cleveland, TN 37312-6444 | 2015-10-17 |
| 1457740961 | Carol Reaves | Specialist | 1113 East 141, St., Cleveland, OH 44110-3685 | 2015-01-21 |
| 1891118378 | Todd Karp | Specialist | 21855 Eaton Rd, Cleveland, OH 44126-2311 | 2014-02-04 |
| 1619226180 | Thomas M Lott Sr. | Specialist | 2486 Adair Mill Rd, Cleveland, GA 30528-3322 | 2012-08-30 |
| 1760712517 | Patrick Alton Gladding | Specialist | 2409 Lee Rd, Cleveland Heights, Cleveland, OH 44118-4124 | 2009-12-29 |
| 1477795227 | Linda Dorsey | Specialist | 2538 Keith St Nw Ste 8, Cleveland, TN 37312-3738 | 2009-03-25 |
| 1598906117 | John Robert Fowler Jr. | Specialist | Emergency Services Institute E 19, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2009-03-11 |
| 1275772931 | Raed Nabil Bou Matar | Specialist | 2801 Mlk Jr Dr, Cleveland, OH 44104-3815 | 2009-02-19 |
| 1447405444 | Ivy Trinell Chambers | Specialist | 3737 E 154th St, Cleveland, OH 44120-4917 | 2008-11-18 |
| 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.