TEVIS JEROME GORDON-CRAWFORD (NPI# 1720551724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720551724 |
| Entity Type | Individual |
| Full Name | TEVIS JEROME GORDON-CRAWFORD |
| Credential | NP |
| Practice Address |
12100 Superior Ave Cleveland OH 44106-1444 |
| Mailing Address |
9802 Sandusky Ave Cleveland OH 44105-2367 |
| Practice Telephone | 2168517141 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.023686 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0385572 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3100 E 45th St Ste 314, Cleveland, OH 441271095 | 2164419622 | |
| 7610 Carroll Ave Ste 110, Takoma Park, MD 209126311 | 3014048895 |
| Street Address |
12100 SUPERIOR AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649201732 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2006-07-06 |
| 1497117337 | Jane Molina | Nurse Practitioner | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2016-03-21 |
| 1114282704 | Aldyn Jerome Muthra | Dentist | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2012-07-10 |
| 1972882157 | Falandia Milligan | Nurse Practitioner | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2011-08-05 |
| 1801119045 | Marcia Jane Riegger | Advanced Practice Midwife | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2010-03-02 |
| 1598920191 | Raymond Samaroo | Dentist | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2008-07-23 |
| 1730375999 | Nazly Pashmini | Internal Medicine | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2007-09-21 |
| 1659407682 | Northeast Ohio Neighborhood Health Services, Inc. | Pharmacy | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2007-02-26 |
| 1467534164 | Pamela L. Redden | Internal Medicine | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2006-10-20 |
| 1861581944 | Judith C. Nuza | Advanced Practice Midwife | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2006-10-12 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1508464132 | Molly Kane Kane Elek | Nurse Practitioner | 17801 Susan Ave, Cleveland, OH 44111-4148 | 2020-10-15 |
| 1619583424 | Paulina Kauzljar | Nurse Practitioner | 11100 Euclid Ave # 1635, Cleveland, OH 44106-1716 | 2020-09-17 |
| 1508479379 | April Danielle Daniel | Nurse Practitioner | 200 E Boothe St Ste 100, Cleveland, TX 77327-4063 | 2020-08-31 |
| 1730792037 | Jalayn Konys | Nurse Practitioner | 3653 W 159th St, Cleveland, OH 44111-5704 | 2020-08-26 |
| 1962014142 | Cassie Ann Williams | Nurse Practitioner | 470 8th St Nw, Cleveland, TN 37311-1811 | 2020-08-19 |
| 1417565912 | Jenae Camille Hennessey | Nurse Practitioner | 3278 Lakewood Dr Nw, Cleveland, TN 37312-2093 | 2020-07-21 |
| 1851918841 | Leslie Torchick Casteel | Nurse Practitioner | 2305 Chambliss Ave Nw Ste 101, Cleveland, TN 37311-3847 | 2020-06-25 |
| 1306462478 | Brooke Denise Booher | Nurse Practitioner | 611 Bell Rd Se, Cleveland, TN 37323-9003 | 2020-06-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 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.