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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0251856 | 05 |
Other Name | Type Code |
---|---|
Cuyahoga Physician Network | Doing Business As Name - Organization |
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 |
Street Address |
14601 DETROIT RD SUITE 640 |
City | LAKEWOOD |
State | OH |
Zip Code | 44107 |
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 Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
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. |
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 |
Please comment or provide details below to improve the information on OUTREACH PROFESSIONAL SERVICES INC.
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.