CLEVELAND MEDICAL CLINIC INC (NPI# 1720149222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720149222 |
| Entity Type | Organization |
| Organization Name | CLEVELAND MEDICAL CLINIC INC |
| Other Organization Name | HOSPITALIST |
| Practice Address |
2305 Chambliss Ave Cleveland TN 37320 |
| Mailing Address |
7100 Commerce Way Suite 180 Brentwood TN 37027-2829 |
| Practice Telephone | 4235596000 |
| Practice Fax Number | 4235596653 |
| Mailing Telephone | 6154657626 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-08-13 |
| Authorized Official Name | DEBBIE BREWER (DIRECTOR) |
| Authorized Official Telephone | 6154657000 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEVELAND MEDICAL CLINIC INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 840698446A | 05 | |
| TN | 3710153 | 05 |
| Other Name | Type Code |
|---|---|
| Hospitalist | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457522633 | Cleveland Medical Clinic Inc | Psychiatry & Neurology | 2700 Westside Dr Nw, Suite 306, Cleveland, TN 37312-3699 | 2008-03-17 |
| 1457350951 | Cleveland Medical Clinic Inc | Nurse Practitioner | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2005-07-18 |
| Street Address |
2305 CHAMBLISS AVE |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508909599 | Cecil Dewayne Knight | Student in an Organized Health Care Education/Training Program | 2003 Parker Street Mckenzie Athletic Facility, Lee University Box 3450, Cleveland, TN 37320-3450 | 2007-02-15 |
| 1871601286 | Timothy Allen Viser | Otolaryngology | 2414 Chambliss Avenue, Cleveland, TN 37320-5030 | 2006-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780404 | Lyuba Vitkin | Home Health Aide | 6608 Kingswood Dr, Cleveland, OH 44124-4229 | 2020-11-08 |
| 1659972305 | Rosemary Jean Snow | Pharmacist | 5841 W 130th St, Cleveland, OH 44130-9308 | 2020-11-07 |
| 1962003848 | Jessica John | Home Health Aide | 4065 W 143rd St, Cleveland, OH 44135-1471 | 2020-11-05 |
| 1760083794 | Susan Carol Flatt | Behavior Technician | 415 Heritage Hills Cir Ne, Cleveland, TN 37323-5156 | 2020-11-05 |
| 1326649427 | Brooke Iames | Prosthetist | 2182 W 38th St Uppr, Cleveland, OH 44113-3833 | 2020-11-04 |
| 1285235697 | Tennie E Millhouse | Home Health | 12808 Summerland Ave, Cleveland, OH 44111-5167 | 2020-11-03 |
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1295335800 | Blake Stuckey | Social Worker | 1750 Ansel Rd Apt 511, Cleveland, OH 44106-4103 | 2020-11-01 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1083214886 | Prestige Providers LLC | Home Health | 4500 Lee Rd Ste 232, Cleveland, OH 44128-2961 | 2020-10-30 |
| Find all providers in CLEVELAND | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376014092 | Ehs Physician Group Pllc | Hospitalist | 1017 S Travis Ave, Cleveland, TX 77327-5152 | 2018-12-06 |
| 1558893230 | Rama Nanah | Hospitalist | 9500 Euclid Ave Dept Of, Cleveland, OH 44195-0001 | 2017-03-31 |
| 1669821724 | Ramone Sean Eldemire | Hospitalist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2016-06-09 |
| 1104289396 | Select Specialty Hospital - Cleveland, LLC | Hospitalist | 11900 Fairhill Rd, 1st Fl, Cleveland, OH 44120-1062 | 2016-04-04 |
| 1295198489 | Select Specialty Hospital - Cleveland, LLC | Hospitalist | 11900 Fairhill Rd, 1st Fl, Cleveland, OH 44120-1062 | 2016-04-04 |
| 1891158374 | Zachary Benjamin Strumpf | Hospitalist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2016-04-01 |
| 1366812109 | Supriya Palwinder Singh | Hospitalist | 9500 Euclid Ave, Cleveland, OH 44195 | 2015-10-06 |
| 1043606833 | Korkor Sackey | Hospitalist | 9500 Euclid Ave, Cleveland, OH 44195 | 2015-04-08 |
| 1386039998 | Alexander Hallac | Hospitalist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2015-03-31 |
| 1053743823 | Ripple Mehta | Hospitalist | 2500 Metrohealth Dr, Cleveland, OH 44109 | 2013-08-05 |
| 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.