DR. CHARLES MBANEFO (NPI# 1881720886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881720886 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MBANEFO |
| Credential | M.D MRCP |
| Practice Address |
11201 Shaker Blvd Suite 130 Cleveland OH 44104-3833 |
| Practice Telephone | 2163685687 |
| Mailing Telephone | 2163685687 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35051577M | OH | Allopathic & Osteopathic Physicians |
| Street Address |
11201 SHAKER BLVD SUITE 130 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44104-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510419 | Gwen Burtin | Technician | 9908 Kennedy Ave, Cleveland, OH 44104 | 2019-10-24 |
| 1215422001 | Julia Shneyderman | Dentist | 11202 Shaker Blvd Ste 136, Cleveland, OH 44104 | 2018-06-25 |
| 1477058527 | Kwananda A Plato | Technician | 9717 Elwell Ave., Cleveland, OH 44104 | 2018-03-29 |
| 1073035887 | Tia Marie Heard | Home Health | 4591 Quincy Avenue Building Q, Cleveland, OH 44104 | 2017-07-13 |
| 1407306608 | Shelby Mcquiller | Social Worker | 2632 E 115th St, Cleveland, OH 44104 | 2016-10-11 |
| 1568852390 | Cleveland Arts & Social Sciences Academy | Psychologist | 10701 Shaker Blvd, Cleveland, OH 44104 | 2015-02-02 |
| 1164827705 | Eboni Danyale Jordan | Licensed Practical Nurse | 3143 East 99th, Cleveland, OH 44104 | 2014-10-24 |
| 1902224157 | Woodland Academy, Inc. | Local Education Agency (LEA) | 10615 Lamontier Blvd., Cleveland, OH 44104 | 2014-04-04 |
| 1467793778 | Teresa M Evans-guyton | Nurse Practitioner | 11201 Shaker Blvd Ste 240, Cleveland, OH 44104 | 2013-03-12 |
| 1023387057 | Roslyn Jeanette Carter | Home Health Aide | 9423 Ramona Blvd, Cleveland, OH 44104 | 2011-12-20 |
| Find all providers in zip 44104 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1659439867 | Michael E Portner | Internal Medicine | 803 First Street, Cleveland, MS 38732 | 2006-12-04 |
| 1679599203 | Lavinia Negrea | Internal Medicine | 11100 Euclid Aveue, Cleveland, OH 44106 | 2006-07-15 |
| 1700850245 | Balram L Chhajwani | Internal Medicine | 915 Clingan Ridge Dr Nw, Cleveland, TN 37312-3729 | 2006-02-13 |
| 1346231180 | James F Simon | Internal Medicine | 9500 Euclid Ave # Q7, Cleveland, OH 44195-0001 | 2005-11-01 |
| 1376169458 | Ryan Elizabeth Kennedy | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-06-24 |
| 1033663323 | Omar Aleter | Internal Medicine | 9500 Euclid Ave # Na23, Cleveland, OH 44195-5302 | 2016-08-04 |
| 1497117139 | Liza Krassimirova Cholin | Internal Medicine | 9500 Euclid Ave # Na-23, Cleveland, OH 44195-0001 | 2016-03-22 |
| 1164823894 | Bradley Nephrology | Internal Medicine | 915 Clingan Ridge Dr Nw, Cleveland, TN 37312-3729 | 2014-09-12 |
| 1003224411 | Tarek Ashour | Internal Medicine | 9500 Euclid Ave # Q7, Cleveland, OH 44195-4122 | 2014-07-29 |
| 1497161020 | Bushra Syed | Internal Medicine | 9500 Euclid Ave # Q7, Cleveland, OH 44195-1015 | 2014-07-02 |
| 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.