OUTREACH PROFESSIONAL SERVICES INC (NPI# 1134119829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134119829 |
| Entity Type | Organization |
| Organization Name | OUTREACH PROFESSIONAL SERVICES INC |
| Other Organization Name | ST VINCENT MEDICAL GROUP |
| Practice Address |
2475 E 22nd St Cleveland OH 44115-3221 |
| Mailing Address |
7580 Northcliff Ave Suite 500 Brooklyn OH 44144-3270 |
| Practice Telephone | 2164311500 |
| Practice Fax Number | 2164317701 |
| Mailing Telephone | 2164722741 |
| Mailing Fax Number | 2164722739 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2012-09-10 |
| Authorized Official Name | KELLY A MOWRER (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2164722741 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0251856 | 05 |
| Other Name | Type Code |
|---|---|
| St Vincent Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033391792 | Outreach Professional Services Inc | Orthopaedic Surgery | 14601 Detroit Rd, Suite 640, Lakewood, OH 44107 | 2007-12-04 |
| 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 |
| Street Address |
2475 E 22ND ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417946062 | Central Medical Arts Pharmacy | Pharmacy | 2475 E 22nd St, Cleveland, OH 44115-3221 | 2005-10-17 |
| 1033405113 | Central Rx Pharmacy & Medical Supply LLC | Pharmacy | 2475 E 22nd St, Cleveland, OH 44115-3221 | 2011-06-27 |
| 1861726333 | St. Mary's Home Health Care of Ohio LLC | Home Health | 2475 E 22nd St, Cleveland, OH 44115-3221 | 2009-09-30 |
| 1962633313 | Meenu Gaba | Internal Medicine | 2475 E 22nd St, Suite 120, Cleveland, OH 44115-3221 | 2009-08-03 |
| 1326258476 | H A Johnson Dds Inc | Dentist | 2475 E 22nd St, Suite 204, Cleveland, OH 44115-3221 | 2007-05-23 |
| 1144368317 | Giesele Robinson Greene | Internal Medicine | 2475 E 22nd St, Cleveland, OH 44115-3221 | 2007-02-01 |
| 1104994052 | Henderson Andrew Johnson Iv | Dentist | 2475 E 22nd St, Suite 204, Cleveland, OH 44115-3221 | 2006-11-30 |
| 1326126368 | Parvez B Khambatta | Internal Medicine | 2475 E 22nd St, Suite 120, Cleveland, OH 44115-3221 | 2006-11-01 |
| 1255417366 | David Lee Miller | Pharmacist | 2475 E 22nd St, Cleveland, OH 44115-3221 | 2006-10-31 |
| 1174607410 | Lokanathan Anand | Internal Medicine | 2475 E 22nd St, #210, Cleveland, OH 44115 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115277 | Basel Bazerbachi | Internal Medicine | Cleveland Clinic Foundation 9500 Euclid Ave Na-23, Cleveland, OH 44195-0001 | 2020-08-18 |
| 1881236560 | Fivestars Onlinecare | Internal Medicine | 850 Euclid Aveneue, Suite 1022, Cleveland, OH 44114 | 2019-10-14 |
| 1982161527 | Lake Point Medical Group,llc | Internal Medicine | 1730 W 25th St Ste 2e, Cleveland, OH 44113-3108 | 2019-03-01 |
| 1780154914 | Syah, LLC | Internal Medicine | 142 Parkway Plaza, Cleveland, GA 30528 | 2018-11-30 |
| 1255818001 | Simrat Kaur | Internal Medicine | Cleveland Clinic Foundation 9500 Euclid Avenue/na- 23, Cleveland, OH 44195-0001 | 2018-07-24 |
| 1528553005 | Nazire Albayrak | Internal Medicine | Cleveland Clinic 9500 Euclid Avenue/na2-3, Cleveland, OH 44195-0001 | 2018-06-26 |
| 1770082471 | Cleveland Clinic Health Services Professional Association, Inc | Internal Medicine | 9500 Euclid Ave # Na4, Cleveland, OH 44195 | 2018-02-08 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1669994935 | Ji Seok Park | Internal Medicine | 9500 Euclid Ave A51, Cleveland, OH 44193-1913 | 2017-07-08 |
| 1407376031 | Arunbabu Sankaranarayanan | Internal Medicine | 2351 E 22nd St # 342w, Cleveland, OH 44115-3111 | 2017-06-24 |
| 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.