CLEVELAND VAMC (NPI# 1972550507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972550507 |
| Entity Type | Organization |
| Organization Name | CLEVELAND VAMC |
| Other Organization Name | DAVID F WINDER VA CLINIC |
| Practice Address |
1025 South Trimble Road Mansfield OH 44906-2700 |
| Mailing Address |
Po Box 5405 Madison WI 53705-0405 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DAVID F WINDER VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598153686 | Cleveland Vamc | Clinic/Center | 111 E Voris St, Akron, OH 44311-1513 | 2014-12-26 |
| 1508267394 | Cleveland Vamc | Clinic/Center | 8901 Superior Avenue, Cleveland, OH 44106-9998 | 2014-09-11 |
| 1215344270 | Cleveland Vamc | Clinic/Center | 54 South State Street, Suite 204, Painesville, OH 44077-3445 | 2014-07-22 |
| 1487926853 | Cleveland Vamc | Clinic/Center | 8701 Brookpark Rd, Parma, OH 44129-6809 | 2012-02-01 |
| 1104865971 | Cleveland Vamc | Clinic/Center | 1460 Tod Ave Nw, Warren, OH 44485-2407 | 2006-06-06 |
| 1598718090 | Cleveland Vamc | Clinic/Center | 15655 Star Rt 170, Calcutta, OH 43920-9069 | 2006-05-18 |
| 1962867275 | Cleveland Vamc | Clinic/Center | 7000 Euclid Ave, Suites 102 and 202, Cleveland, OH 44103-4014 | 2015-12-31 |
| 1144611179 | Cleveland Vamc | Clinic/Center | 10701 East Blvd, Cleveland, OH 44106-1702 | 2015-02-12 |
| 1053702084 | Cleveland Vamc | Clinic/Center | 10701 East Blvd, Cleveland, OH 44106-1702 | 2015-02-12 |
| 1457742470 | Cleveland Vamc | Clinic/Center | 10701 East Blvd, Cleveland, OH 44106-1702 | 2015-02-12 |
| Street Address |
1025 SOUTH TRIMBLE ROAD |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734759 | Cincinnati Vamc | Clinic/Center | 4600 Smith Rd Ste A6, Norwood, OH 45212-2793 | 2019-01-22 |
| 1063800332 | Chillicothe Vamc | Clinic/Center | 17273 Sr 104, Chillicothe, OH 45601-9718 | 2015-01-08 |
| 1598153686 | Cleveland Vamc | Clinic/Center | 111 E Voris St, Akron, OH 44311-1513 | 2014-12-26 |
| 1508267394 | Cleveland Vamc | Clinic/Center | 8901 Superior Avenue, Cleveland, OH 44106-9998 | 2014-09-11 |
| 1407264666 | Carla Joa Raymo | Clinic/Center | 5609 Baldoyle Way, Canal Winchester, OH 43110-7946 | 2014-07-31 |
| 1861809824 | Chillicothe Vamc | Clinic/Center | 448 West Main Street, Wilmington, OH 45177-2121 | 2014-07-22 |
| 1952718900 | Huntington Vamc | Clinic/Center | 323a Upper River Road, Gallipolis, OH 45631-1840 | 2014-07-22 |
| 1215344270 | Cleveland Vamc | Clinic/Center | 54 South State Street, Suite 204, Painesville, OH 44077-3445 | 2014-07-22 |
| 1417200023 | Cincinnati Vamc | Clinic/Center | 474 Home Street, Georgetown, OH 45121-1459 | 2012-10-19 |
| 1487926853 | Cleveland Vamc | Clinic/Center | 8701 Brookpark Rd, Parma, OH 44129-6809 | 2012-02-01 |
| 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.