OUTREACH PROFESSIONAL SERVICES INC (NPI# 1770765380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770765380 |
| Entity Type | Organization |
| Organization Name | OUTREACH PROFESSIONAL SERVICES INC |
| Other Organization Name | CUYAHOGA PHYSICIAN NETWORK |
| Practice Address |
33141 Bainbridge Rd Solon OH 44139 |
| Mailing Address |
26908 Detroit Rd Suite 301 Westlake OH 44145-2398 |
| Practice Telephone | 4402488888 |
| Practice Fax Number | 4403494026 |
| Mailing Telephone | 4406171823 |
| Mailing Fax Number | 4406170884 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2010-01-12 |
| Authorized Official Name | MISTY A BLAYLOCK (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4408926406 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0251856 | 05 |
| Other Name | Type Code |
|---|---|
| Cuyahoga Physician Network | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033391792 | Outreach Professional Services Inc | Orthopaedic Surgery | 14601 Detroit Rd, Suite 640, Lakewood, OH 44107 | 2007-12-04 |
| 1184916033 | Outreach Professional Services Inc | Durable Medical Equipment & Medical Supplies | 6701 Rockside Rd, Suite 100, Independence, OH 44131-2358 | 2011-05-11 |
| 1053599209 | Outreach Professional Services Inc | Neurological Surgery | 5334 Meadow Lane Ct, Sheffield Village, OH 44035-1469 | 2008-02-08 |
| 1780866392 | Outreach Professional Services Inc | Internal Medicine | 2322 East 22nd St, Suite 200, Cleveland, OH 44115 | 2007-12-05 |
| 1356523963 | Outreach Professional Services Inc | Advanced Practice Midwife | 29325 Health Campus Dr, Suite 1, Westlake, OH 44145 | 2007-12-05 |
| 1326220930 | Outreach Professional Services Inc | Anesthesiology | 2351 East 22nd St, Cleveland, OH 44115 | 2007-12-05 |
| 1952583627 | Outreach Professional Services Inc | Durable Medical Equipment & Medical Supplies | 6701 Rockside Rd, Suite 103, Independence, OH 44131-2358 | 2007-12-04 |
| 1396927067 | Outreach Professional Services Inc | Surgery | 4415 Euclid Ave, Suite 110, Cleveland, OH 44103 | 2007-12-04 |
| 1104008879 | Outreach Professional Services Inc | Internal Medicine | 11201 Shaker Blvd, Suite 102, Cleveland, OH 44104 | 2007-12-04 |
| 1780866467 | Outreach Professional Services Inc | Internal Medicine | 2322 East 22nd St, Suite 207, Cleveland, PA 44145 | 2007-12-04 |
| Street Address |
33141 BAINBRIDGE RD |
| City | SOLON |
| State | OH |
| Zip Code | 44139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225000656 | David C. Radford | Chiropractor | 33141 Bainbridge Rd, Solon, OH 44139-2835 | 2006-02-01 |
| 1407976863 | Chiropractic Center of Solon, Inc. | Chiropractor | 33141 Bainbridge Rd, Solon, OH 44139-2835 | 2007-03-30 |
| 1033181466 | David J. Hearst | Chiropractor | 33141 Bainbridge Rd, Solon, OH 44139-2835 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749308 | Leela R Nair | Technician | 32627 Springside Lane, Solon, OH 44139 | 2020-10-29 |
| 1992322556 | Khetam Mohammed Abed | Nurse Practitioner | 30575 Brainbridge Road, Suite 200, Solon, OH 44139 | 2020-06-30 |
| 1841756194 | The Dental Office of Solon Jonathan J Klineman | Dentist | 6175 Som Center Road #235, Solon, OH 44139 | 2019-02-12 |
| 1942736038 | Rada Duplik | Pharmacist | 32565 Stonybrook Lane, Solon, OH 44139 | 2017-05-10 |
| 1831631761 | Deborah Lahey | Speech-Language Pathologist | 5955 Buckboard Lane, Solon, OH 44139 | 2016-11-09 |
| 1558719815 | Center for Stroke and Hand Recovery | Clinic/Center | 32901 Station St., Suite 102, Solon, OH 44139 | 2016-05-27 |
| 1639542079 | Sonya Movassaghi | Dentist | 34194 Aurora Rd, #166, Solon, OH 44139 | 2015-11-06 |
| 1548648017 | Richard A. Marvin | Social Worker | 7196 Som Center Rd., Our Redeemer Lutheran Church, Solon, OH 44139 | 2015-05-15 |
| 1285057125 | Rachel Heflen | Social Worker | 33595 Bainbridge Rd Ste 101, Solon, OH 44139 | 2014-01-29 |
| 1134426398 | Justin J Crivelli | Internal Medicine | 30575 Bainbridge Rd, Solon, OH 44139 | 2011-02-23 |
| Find all providers in zip 44139 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043529696 | Sportscare Physicians | Internal Medicine | 2865 N Reynolds Rd Ste 140, Toledo, OH 43615-2069 | 2010-09-30 |
| 1831190313 | Michael J Kellis | Internal Medicine | 150 Seventh Ave, Suite 200, Chardon, OH 44024-2908 | 2005-08-09 |
| 1740286673 | Michael Scarpone | Internal Medicine | 3151 Johnson Rd Ste 2, Steubenville, OH 43952-2362 | 2005-06-24 |
| 1154976058 | Sarah Mae Tracey | Internal Medicine | 5680 Venture Dr, Dublin, OH 43017-2190 | 2019-08-07 |
| 1194068072 | Edward Yu Qiao | Internal Medicine | 130 Morris Rd, Circleville, OH 43113 | 2013-03-29 |
| 1548304074 | Promedica Central Physicians, LLC | Internal Medicine | 2865 N Reynolds Rd, Suite 130, Toledo, OH 43615-2068 | 2007-02-17 |
| 1285727552 | Julie M Kerr | Internal Medicine | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-10-01 |
| 1962428557 | Richard So | Internal Medicine | 20800 Westgate Mall, Suite 400, Fairview Park, OH 44126-1323 | 2006-07-15 |
| 1003871575 | Paul J Gubanich | Internal Medicine | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2006-04-19 |
| 1063402949 | Henry Albert Stiene | Internal Medicine | 6480 Harrison Ave, Suite 201, Cincinnati, OH 45247-7961 | 2005-10-24 |
| Find all providers with the same taxonomy | ||||
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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.