PAUL F HERGENROEDER (NPI# 1942206388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942206388 |
| Entity Type | Individual |
| Full Name | PAUL F HERGENROEDER |
| Credential | MD |
| Practice Address |
17876 Saint Clair Ave Cleveland OH 44110 |
| Mailing Address |
17876 Saint Clair Ave Cleveland OH 44110-2602 |
| Practice Telephone | 2163832222 |
| Practice Fax Number | 2162980241 |
| Mailing Telephone | 2163832222 |
| Mailing Fax Number | 2162980241 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
35.087486 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
35.087486 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA GROUP | 140052 | 01 |
| PA | BLUE CROSS | 0159 | 01 |
| PA | 1010757980001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 Metrohealth Dr, Cleveland, OH 441091900 | 2167785802 | 2167788300 |
| Street Address |
17876 SAINT CLAIR AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568075935 | Miranda Louise Raggets | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2020-08-26 |
| 1578111696 | Amanda Dawn Bovee | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110 | 2019-09-02 |
| 1821646589 | Jennah Hassel | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2019-08-27 |
| 1285295980 | Cynthia Lynn Boggins | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2019-06-24 |
| 1477033918 | Susan Lacey Antonelli | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2018-08-15 |
| 1386120905 | Eric F Kennedy | Licensed Practical Nurse | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2018-07-17 |
| 1689150773 | Nicole Marie Sugalski | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110 | 2018-07-12 |
| 1487157806 | Erin Welo | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2018-03-12 |
| 1336672104 | Micaela Pap | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2017-04-07 |
| 1427593193 | Ashley L Simmons | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2017-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952287 | Tamika Bonner-conway | Licensed Practical Nurse | 15315 Lucknow Ave, Cleveland, OH 44110 | 2017-06-21 |
| 1831554039 | Neecy's Transportation LLC | Non-emergency Medical Transport (VAN) | 14036 St.clair Ave, Cleveland, OH 44110 | 2015-12-15 |
| 1770970758 | Sherri Craig | Home Health Aide | 16201b Lakeshore Blvd Apt123, Cleveland, OH 44110 | 2015-04-17 |
| 1538576897 | Alayjah M Terrell | Home Health Aide | 917 East 150th, Cleveland, OH 44110 | 2014-07-18 |
| 1700204955 | East Academy, Inc. | Local Education Agency (LEA) | 17520 Kipling, Cleveland, OH 44110 | 2014-04-04 |
| 1578990867 | Delaundria Denise Benjamin | Licensed Practical Nurse | 14206 Westropp Ave, Apt. 211, Cleveland, OH 44110 | 2013-10-01 |
| 1114262789 | Epiphany Damaja Baker | Home Health Aide | 892 E. 139th Street, Cleveland, OH 44110 | 2012-12-07 |
| 1174872543 | Sarah Ann Blowers | Nurse Practitioner | 17876 St. Clair Avenue, Cleveland, OH 44110 | 2012-08-31 |
| 1447495312 | Kathy Jean Taylor | Non-emergency Medical Transport (VAN) | 15218 Lakeshore Blvd, Cleveland, OH 44110 | 2008-12-08 |
| 1689832420 | Glenda Alise Johnson | Nursing Home Administrator | 13514 Kelso Ave, Cleveland, OH 44110 | 2008-05-29 |
| Find all providers in zip 44110 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134239676 | Southwest General Medical Group, Inc. | Internal Medicine | 7255 Old Oak Blvd Ste C202, Cleveland, OH 44130-3300 | 2006-08-30 |
| 1144223231 | Terence Lee Gutgsell | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2005-05-23 |
| 1376962522 | Allison Lynn Early | Internal Medicine | 6780 Mayfield Rd, Cleveland, OH 44124 | 2014-04-15 |
| 1326207366 | Kathleen Neuendorf | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2008-06-05 |
| 1245219617 | Renato Ramon Verayo Samala | Internal Medicine | 9500 Euclid Ave, R35, Cleveland, OH 44195-0001 | 2006-01-12 |
| 1568455954 | Frederick William Heineman | Internal Medicine | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437491685 | Luke A Hashiguchi | Internal Medicine | 75 Arch St Ste G1, Akron, OH 44304-1429 | 2013-03-25 |
| 1184975641 | Superior Transitional Care-ohio LLC | Internal Medicine | 1530 W Market St, Akron, OH 44313-7141 | 2012-09-25 |
| 1497042295 | Amanda Jennifer Orocio | Internal Medicine | 4360 Cooper Rd. Suite 300, Cincinnati, OH 45242 | 2011-06-30 |
| 1083936793 | B.t. Strick, P.a. | Internal Medicine | 139 Gaius St, Bucyrus, OH 44820-1508 | 2010-02-22 |
| 1043444649 | Laurie L Hanne | Internal Medicine | 2600 6th St.sw, Canton, OH 44710 | 2009-05-11 |
| 1710152616 | Erin Nicole Remster | Internal Medicine | 945 Bethesda Dr Ste 120, Zanesville, OH 43701-1880 | 2008-04-23 |
| 1003099912 | Erica J Stovsky | Internal Medicine | 4209 St Rt 44, Rootstown, OH 44272 | 2007-12-13 |
| 1891911756 | Boris Gliner Md | Internal Medicine | 1440 Rockside Road #215 Rockside Plaza, Parma, OH 44134 | 2007-04-18 |
| 1154941417 | Palliative Care Support Solutions, LLC | Internal Medicine | 26261 Main St Ste 2, Coolville, OH 45723-9205 | 2020-04-16 |
| 1356989057 | Coler Palliative Care Ltd | Internal Medicine | 601 Underwood St, Zanesville, OH 43701-3771 | 2019-12-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PAUL F HERGENROEDER.
| 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.