CLEVELAND MEDICAL SERVICES CORPORATION (NPI# 1881051381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881051381 |
| Entity Type | Organization |
| Organization Name | CLEVELAND MEDICAL SERVICES CORPORATION |
| Practice Address |
6829 Broadway Ave Cleveland OH 44105-1313 |
| Practice Telephone | 2162711133 |
| Practice Fax Number | 2162711135 |
| Mailing Telephone | 2162711133 |
| Mailing Fax Number | 2162711135 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | MRS. CHARITY COLVIN O'REILLY (OWNER) |
| Authorized Official Telephone | 2162711133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
6829 BROADWAY AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44105-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508950098 | Patrick Paul Ploenzke | Chiropractor | 6829 Broadway Ave, Cleveland, OH 44105-1313 | 2006-10-02 |
| 1184194185 | Cleveland Physical Therapy Corporation | Clinic/Center | 6829 Broadway Ave, Cleveland, OH 44105-1313 | 2018-12-03 |
| 1699287433 | Shannon Elizabeth Garbus | Physician Assistant | 6829 Broadway Ave, Cleveland, OH 44105-1313 | 2017-11-02 |
| 1720440209 | Rosemarie Dressler | Massage Therapist | 6829 Broadway Ave, Cleveland, OH 44105-1313 | 2016-03-24 |
| 1255617197 | Ashley Walker | Massage Therapist | 6829 Broadway Ave, Cleveland, OH 44105-1313 | 2011-10-24 |
| 1003191578 | Gina Booth | Massage Therapist | 6829 Broadway Ave, Cleveland, OH 44105-1313 | 2011-10-17 |
| 1255624342 | Broadway Lifeforce Corporation | Chiropractor | 6829 Broadway Ave, Cleveland, OH 44105-1313 | 2011-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525340 | Horitta R Yelder | Nurse's Aide | 11305 Olney Ct., Cleveland, OH 44105 | 2019-12-13 |
| 1063982643 | Jasmine Harris | Case Manager/Care Coordinator | 6410 S Broadway, Lorain, OH 44105 | 2018-11-27 |
| 1629596556 | Amber M Stinnett | Licensed Practical Nurse | 11322 Matilda Ave., Cleveland, OH 44105 | 2017-08-30 |
| 1154848752 | Latisha A Coleman | Homemaker | 4151 East 106st, Cleveland, OH 44105 | 2017-08-24 |
| 1235651605 | Christina Roberson | Nurse's Aide | 3525 E.106 St, Cleveland, OH 44105 | 2017-07-07 |
| 1982139457 | Robert Lucas | Homemaker | 9122 Miles, Cleveland, OH 44105 | 2017-04-21 |
| 1154719243 | Sabrina L Kirksey | Driver | 7414 Park Avenue, Cleveland, OH 44105 | 2014-12-26 |
| 1518379643 | Hope Academy Northcoast Campus | Local Education Agency (LEA) | 4310 E. 71st Street, Cleveland, OH 44105 | 2014-05-23 |
| 1366853301 | Gabrielle Baker | Contractor | 4071 E. 59th St., Cleveland, OH 44105 | 2014-05-13 |
| 1407266174 | Hermine Christine Terry | Nurse's Aide | 4096 E. 81 Street, Cleveland, OH 44105 | 2014-05-05 |
| Find all providers in zip 44105 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093237802 | Cle Medical & Rehabilitation LLC | General Practice | 1701 E 12th Street, Wg 240, Cleveland, OH 44114 | 2017-07-13 |
| 1700129244 | Tyler Keith Mccurry | General Practice | 2253 Chambliss Ave Nw Ste 101, Cleveland, TN 37311-3861 | 2013-04-03 |
| 1669704094 | Kuldeep Singh Md,llc | General Practice | 4804 Pearl Rd, Cleveland, OH 44109-5144 | 2010-02-10 |
| 1396964631 | James Gray Adams | General Practice | 208 S Pearman Ave, Cleveland, MS 38732-3248 | 2007-04-25 |
| 1083753388 | Harry Dady Simmons | General Practice | 11002 Detroit Ave, Cleveland, OH 44102 | 2007-02-05 |
| 1609884592 | St Judes Medical Clinic | General Practice | 7211 Broadway, Cleveland, OH 44105 | 2006-08-04 |
| 1104434620 | Moustafa Moussally | General Practice | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-07-21 |
| 1417441171 | Margaret G Shaffer | General Practice | 11100 Euclid Ave, Cleveland, OH 44106 | 2018-06-17 |
| 1013449883 | Caleb Nathaniel Seavey | General Practice | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2017-03-31 |
| 1881950889 | Jalex, LLC | General Practice | 3372 Keith St Nw, Cleveland, TN 37312-3718 | 2012-04-04 |
| 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.