Michael Raddock (NPI# 1043391030, PAC ID# 1254466899) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043391030 |
| PAC ID by PECOS | 1254466899 |
| Professional Enrollment ID | I20100322000014 |
| Full Name | Michael Raddock |
| Organization Legal Name | METROHEALTH SYSTEM |
| Address |
6835 Broadway Ave Cleveland OH 44105-1313 |
| Phone Number | 2169571500 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8628982949 |
| Number of Group Practice Members | 905 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360059 | METROHEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2167787800 | METROHEALTH SYSTEM |
| 6835 Broadway Ave, Cleveland, OH 44105-1313 | 2169571500 | METROHEALTH SYSTEM |
| Organization Legal Name | METROHEALTH SYSTEM |
| Physicians | 949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E White | Clinical Social Worker | Metrohealth System | 4229 Pearl Rd, Cleveland, OH 44109-4218 |
| Marion E Craig | Nurse Practitioner | Metrohealth System | 11100 Saint Clair Ave, Cleveland, OH 44108-1943 |
| Christine Eckhauser | Diagnostic Radiology | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Deborah Bazzo | Nurse Practitioner | Metrohealth System | 4330 W 150th St, Cleveland, OH 44135-1362 |
| Catherine V Dabramo | Emergency Medicine | Metrohealth System | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 |
| Vanessa P Ho | General Surgery | Metrohealth System | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 |
| Frank Kenner | Psychologist, Clinical | Metrohealth System | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 |
| Debra R Bowes | Nurse Practitioner | Metrohealth System | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 |
| Peter M Laye | Radiation Oncology | Metrohealth System | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 |
| Dominic Peterre | Physician Assistant | Metrohealth System | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 |
| Street Address |
6835 BROADWAY AVE |
| City | CLEVELAND |
| State | OH |
| Zip | 44105-1313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Eckhauser | Diagnostic Radiology | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Steven W Tamarkin | Diagnostic Radiology | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Kristen M Haase | Family Medicine | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Mindy Dawn Toabe | Optometry | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Christina C Clemow | Diagnostic Radiology | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Meaghan A Combs | Family Medicine | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Jessica R Griggs | Family Medicine | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Erica Scott | Nurse Practitioner | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Lee H Tseng | Diagnostic Radiology | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Benjamin Rubin | Clinical Social Worker | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christie Johnson | Nurse Practitioner | Cleveland Medical Services Corporation | 6829 Broadway Ave, Cleveland, OH 44105-1313 |
| Mark E Dunlap | Cardiovascular Disease (cardiology) | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Nygi S Raju | Family Medicine | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Louise J Moroz | Nurse Practitioner | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Jill J Schieda | Diagnostic Radiology | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Rebecca S Snider-fuller | Certified Clinical Nurse Specialist (cns) | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Monique S Robinson | Family Medicine | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Gaby Khoury | Family Medicine | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| David R Di Lorenzo | Diagnostic Radiology | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Jorge Calles-escandon | Endocrinology | Metrohealth System | 6835 Broadway Ave, Cleveland, OH 44105-1313 |
| Find all physicians in zip 44105 | |||
| City | CLEVELAND |
| Zip Code | 44105 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLEVELAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael Raddock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.