OUTREACH PROFESSIONAL SERVICES INC


Address: 14601 Detroit Rd, Suite 640, Lakewood, OH 44107
Phone: 2162211500

OUTREACH PROFESSIONAL SERVICES INC (NPI# 1033391792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033391792
Entity Type Organization
Organization Name OUTREACH PROFESSIONAL SERVICES INC
Other Organization Name CUYAHOGA PHYSICIAN NETWORK
Practice Address 14601 Detroit Rd
Suite 640
Lakewood
OH 44107
Mailing Address 26908 Detroit Rd
Suite 301
Westlake
OH 44145-2398
Practice Telephone 2162211500
Mailing Telephone 4406171823
Mailing Fax Number 4406170884
Enumeration Date 2007-12-04
Last Update Date 2010-01-12
Authorized Official Name MISTY A BLAYLOCK (CREDENTIALING COORDINATOR)
Authorized Official Telephone 4408926406
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
Y 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0251856 05

Other Provider/Organization Names

Other Name Type Code
Cuyahoga Physician Network Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184916033 Outreach Professional Services Inc Durable Medical Equipment & Medical Supplies 6701 Rockside Rd, Suite 100, Independence, OH 44131-2358 2011-05-11
1053599209 Outreach Professional Services Inc Neurological Surgery 5334 Meadow Lane Ct, Sheffield Village, OH 44035-1469 2008-02-08
1770765380 Outreach Professional Services Inc Orthopaedic Surgery 33141 Bainbridge Rd, Solon, OH 44139 2007-12-05
1780866392 Outreach Professional Services Inc Internal Medicine 2322 East 22nd St, Suite 200, Cleveland, OH 44115 2007-12-05
1356523963 Outreach Professional Services Inc Advanced Practice Midwife 29325 Health Campus Dr, Suite 1, Westlake, OH 44145 2007-12-05
1326220930 Outreach Professional Services Inc Anesthesiology 2351 East 22nd St, Cleveland, OH 44115 2007-12-05
1952583627 Outreach Professional Services Inc Durable Medical Equipment & Medical Supplies 6701 Rockside Rd, Suite 103, Independence, OH 44131-2358 2007-12-04
1396927067 Outreach Professional Services Inc Surgery 4415 Euclid Ave, Suite 110, Cleveland, OH 44103 2007-12-04
1104008879 Outreach Professional Services Inc Internal Medicine 11201 Shaker Blvd, Suite 102, Cleveland, OH 44104 2007-12-04
1780866467 Outreach Professional Services Inc Internal Medicine 2322 East 22nd St, Suite 207, Cleveland, PA 44145 2007-12-04

Office Location

Street Address 14601 DETROIT RD
SUITE 640
City LAKEWOOD
State OH
Zip Code 44107

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326522210 Lawrence M Roth Social Worker 14701 Detroit Ave Ste 363, Lakewood, OH 44107 2018-09-18
1376065730 Fareeha Khan Internal Medicine 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 2017-07-07
1912433756 Julie Ann Foucher-urcuyo Family Medicine 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 2017-05-11
1225563661 Elizabeth Ann Rainbolt Family Medicine 14601 Detroit Ave Fl 2, Lakewood, OH 44107 2017-04-24
1255882551 Kristen Murray Dietitian, Registered 14900 Detroit Ave Ste 207, Lakewood, OH 44107 2016-10-21
1265828131 David Thomas Jonke Dentist 15640 Madison Ave., Lakewood, OH 44107 2015-04-08
1760885941 Debra Watkins Home Health Aide 1510 Newman Ave Apt 406, Lakewood, OH 44107 2014-10-02
1396155198 Monica M Owen Occupational Therapist 9200 Biddulph Rd., Brooklyn, OH 44107 2014-05-01
1730512229 Marsha Elaine Favors Licensed Practical Nurse 1448 Lakeland Ave, Lakewood, OH 44107 2013-08-20
1508130006 Ruth Rachel Raciniewski Counselor 15200 Madison Avenue, Lakewood, OH 44107 2012-03-01
Find all providers in zip 44107

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225646979 New West Physicians, P.C. Podiatrist 1536 Cole Blvd # 4-250, Lakewood, CO 80401-3413 2020-07-20
1326571308 Randi Jean Keefe Podiatrist 1312 Donald Ave, Lakewood, OH 44107-2851 2017-04-06
1043662158 Kristina Eunjeong Chang Podiatrist 3700 E South Street, Lakewood, CA 90805 2016-07-13
1790931087 Paul H Eisenberg, Dpm Inc Podiatrist 14900 Detroit Ave, Lakewood, OH 44107-3923 2008-08-18
1225255086 Kurt Gustavson Podiatrist 6216 Whisper Ln Sw, Lakewood, WA 98499-1139 2007-04-20
1689719619 Rosa Montemayor Dpm PC Podiatrist 9255 W Alameda Ave Ste F, Lakewood, CO 80226-2802 2007-02-20
1235279993 Michael Joseph Beauclair Podiatrist 1415 Blossom Park Ave, Lakewood, OH 44107-4401 2007-02-08
1568576528 James F Eggold Podiatrist 5445 Del Amo Blvd Ste 102, Lakewood, CA 90712-2761 2006-08-18
1154385284 Paul Thomas Voegeli Jr. Podiatrist 165 South Union Boulevard, Suite 322, Lakewood, CO 80228-2211 2006-04-14
1619954302 Ronald J Lancz Podiatrist 105 River Avenue, Building B Suite #303, Lakewood, NJ 08701 2005-12-23
Find all providers in LAKEWOOD

Competitor

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City LAKEWOOD
Zip Code 44107

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Dataset Information

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.

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