UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER (NPI# 1043747454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043747454 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER |
| Other Organization Name | CMC HOUSE PROVIDERS |
| Practice Address |
11100 Euclid Ave Cleveland OH 44106-1716 |
| Practice Telephone | 2168448447 |
| Mailing Telephone | 2168448447 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |
| Authorized Official Name | MICHAEL VEHOVEC (VP & CONTROLLER) |
| Authorized Official Telephone | 2167678729 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364S00000X | Clinical Nurse Specialist | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| CMC HOUSE PROVIDERS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073075867 | University Hospitals Cleveland Medical Center | Eyewear Supplier (Equipment, not the service) | 5805 Euclid Ave Ste 100, Cleveland, OH 44103-3715 | 2019-04-02 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1053944967 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 5805 Euclid Ave Ste 100, Cleveland, OH 44103-3715 | 2020-02-19 |
| 1396209771 | University Hospitals Cleveland Medical Center | Dentist | 11100 Euclid Ave, Rbc Ste 1200, Cleveland, OH 44106-1716 | 2019-01-30 |
| 1326402611 | University Hospitals Cleveland Medical Center | Clinic/Center | 5901 E Royalton Rd, Broadview Heights, OH 44147-3532 | 2016-04-12 |
| 1881055150 | University Hospitals Cleveland Medical Center | Clinic/Center | 5901 E Royalton Rd, Broadview Heights, OH 44147-3532 | 2016-03-15 |
| 1629460498 | University Hospitals Cleveland Medical Center | General Acute Care Hospital | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2015-03-03 |
| 1518382944 | University Hospitals Cleveland Medical Center | General Acute Care Hospital | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2014-02-21 |
| 1801146394 | University Hospitals Cleveland Medical Center | Clinic/Center | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2012-09-12 |
| 1487770335 | University Hospitals Cleveland Medical Center | Clinic/Center | 9000 Mentor Ave, Mentor, OH 44060-4496 | 2007-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER | 11100 Euclid Ave, Cleveland, OH 44106-1716 |
| Street Address |
11100 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899927 | Joel H. Elconin | Radiology | 11100 Euclid Ave, Ireland/seidman Radiation Oncology, Cleveland, OH 44106 | 2005-05-23 |
| 1386245207 | Dalal Hamad A Alsaggabi | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-06 |
| 1922609809 | Melanie Wolf | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-05 |
| 1093313918 | Aryn Rose Pecoraro | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-10-13 |
| 1366058331 | Harun Abukar | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1205442290 | Jessica Regan | Dietitian, Registered | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1740895960 | Sara Lyn Stefano | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-14 |
| 1063026052 | Meredith Barker | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-07 |
| 1124631114 | Luis Augusto Palma Dallan | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-28 |
| 1023621216 | Stephanie Casto | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121042 | Madelyn Suzanne Yacavino | Nurse Practitioner | 1229 W 70th St, Cleveland, OH 44102-2017 | 2020-07-16 |
| 1972139590 | Ciara Kessler | Nurse Practitioner | 10685 Carnegie Avenue, Cleveland, OH 44195-0001 | 2020-03-15 |
| 1700411568 | Mallory Spieth | Nurse Practitioner | 9600 Euclid Ave, Cleveland, OH 44195-0001 | 2020-03-11 |
| 1912540543 | Lyndsey Rachelle Kytta | Nurse Practitioner | 5420 Saint Stephens Ct, Cleveland, OH 44102-3200 | 2019-10-27 |
| 1649829730 | Ashley Johnson | Nurse Practitioner | 770 Stuart Rd Ne, Cleveland, TN 37312-5080 | 2019-09-10 |
| 1821642422 | Ashley Nicole Sutkowski | Nurse Practitioner | 9500 Euclid Ave # J1-5, Cleveland, OH 44195-0001 | 2019-07-31 |
| 1063979656 | Kimberly Jones | Nurse Practitioner | 9500 Euclid Ave # Deskj82, Cleveland, OH 44195-0001 | 2019-03-01 |
| 1255804019 | Kerri Hopkins | Nurse Practitioner | 3913 Georgetown Rd Nw, Cleveland, TN 37312-1806 | 2019-01-04 |
| 1124595749 | Natalie Wolters Gery | Nurse Practitioner | 2253 Chambliss Ave Nw Ste 2012, Cleveland, TN 37311-3861 | 2018-11-01 |
| 1477039113 | Rachel Wolff | Nurse Practitioner | 1001 Lakeside Ave E Ste 100, Cleveland, OH 44114-1172 | 2018-07-16 |
| Find all providers in CLEVELAND | ||||
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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.