FAIRVIEW HOSPITAL (NPI# 1164643136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164643136 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW HOSPITAL |
| Practice Address |
18200 Lorain Ave Cleveland OH 44111-5605 |
| Practice Telephone | 2164767086 |
| Practice Fax Number | 2164767604 |
| Mailing Telephone | 2164767086 |
| Mailing Fax Number | 2164767604 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANURADHA BAKSHI (RESIDENT) |
| Authorized Official Telephone | 2164767086 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 57011880 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | TEMPORARY LICENSE # | 57011880 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932564416 | Fairview Hospital | General Acute Care Hospital | 9000 Lyman Ct, North Ridgeville, OH 44039-9759 | 2015-12-28 |
| 1922139914 | Fairview Hospital | General Acute Care Hospital | 8 River Side Rd, Rocky River, OH 44116-3098 | 2007-03-08 |
| 1881252286 | Fairview Hospital | Clinic/Center | 780 Main St, Great Barrington, MA 01230-2148 | 2019-05-31 |
| 1124686530 | Fairview Hospital | Clinic/Center | 197 Adams Rd, Williamstown, MA 01267-2930 | 2019-05-31 |
| 1639737042 | Fairview Hospital | Clinic/Center | 71 Hospital Ave, North Adams, MA 01247-2504 | 2019-05-31 |
| 1942474176 | Fairview Hospital | General Acute Care Hospital | 29 Lewis Ave, Great Barrington, MA 01230-1713 | 2008-04-18 |
| 1962600395 | Fairview Hospital | Internal Medicine | 20220 Center Ridge Rd, Suite 120, Rocky River, OH 44116-3501 | 2007-07-06 |
| 1598961039 | Fairview Hospital | Internal Medicine | 4330 W 150th St, Cleveland, OH 44135-1362 | 2007-06-22 |
| 1780889725 | Fairview Hospital | Internal Medicine | 25200 Center Ridge Rd, Westlake, OH 44145-4141 | 2007-06-19 |
| 1073734042 | Fairview Hospital | Student in an Organized Health Care Education/Training Program | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2007-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAIRVIEW HOSPITAL | 29 Lewis Ave, Great Barrington, MA 01230-1713 |
| Oklahoma Business Registrations | FAIRVIEW HOSPITALITY, LLC | 4411 Sw 15th St, Oklahoma City, OK 73108 |
| Street Address |
18200 LORAIN AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44111-5605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669113 | Donald Eicher | Internal Medicine | 18200 Lorain Ave, Moll Pavilion, Cleveland, OH 44111-5605 | 2005-06-20 |
| 1477931319 | Vanessa Jean Stagliano | Family Medicine | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2015-05-12 |
| 1336564509 | Regina Pestak | Student in an Organized Health Care Education/Training Program | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2014-02-25 |
| 1285059576 | Vincent Biagio Boytim | Family Medicine | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2014-02-24 |
| 1205277795 | Bridget Lynn Griffin | Registered Nurse | 18200 Lorain Ave, Moll Pavilion, Cleveland, OH 44111-5605 | 2013-07-11 |
| 1831533082 | Deana Mamari | Anesthesiologist Assistant | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2013-04-18 |
| 1144563685 | Natalie Anne Thomas | Family Medicine | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2013-04-03 |
| 1255673828 | Ashley Marie Phipps | Student in an Organized Health Care Education/Training Program | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2013-03-21 |
| 1447500111 | Fairview Cleveland Clinic Hospital | General Acute Care Hospital | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2012-09-11 |
| 1871865477 | Jean Marie Ellsworth-wolk | Clinical Nurse Specialist | 18200 Lorain Ave, Lower Level, Cleveland, OH 44111-5605 | 2012-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098453 | Remeka D Mason | Nurse's Aide | 3770 W 130th St, Cleveland, OH 44111 | 2019-05-14 |
| 1447712500 | L.i.s. Transportation LLC | Secured Medical Transport (VAN) | 15720 Lorain Avenue, Cleveland, OH 44111 | 2019-04-05 |
| 1619446465 | Donald Lewis Jr. | Case Manager/Care Coordinator | 3430 Warren Rd, Apt 25, Cleveland, OH 44111 | 2018-11-21 |
| 1487138335 | Dominique Sharita Dent | Case Manager/Care Coordinator | 12104 Marne Ave., Cleveland, OH 44111 | 2018-09-17 |
| 1629518956 | Daniela Alejandra Mchugh-carias | Specialist/Technologist | 17215 Bradgate Ave, Cleveland, OH 44111 | 2017-03-06 |
| 1568831535 | Marlene Fernandez | Registered Nurse | 3153 West 105, Cleveland, OH 44111 | 2015-09-21 |
| 1225418957 | Subanandhini Subramaniam Parameshwari | Internal Medicine | 18101 Lorain Avenue, Fairview Hospital, Cleveland, OH 44111 | 2015-06-08 |
| 1659785798 | Desiree D Reid | Home Health Aide | 3715 Highland Road, Cleveland, OH 44111 | 2014-06-17 |
| 1184042665 | David Meyer | Pharmacist | 3929 Rocky River Dr., Cleveland, OH 44111 | 2014-04-02 |
| 1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
| Find all providers in zip 44111 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417577537 | Eduardo Trevino | Family Medicine | 3009 Midfield Cir Se, Cleveland, TN 37323-0554 | 2020-04-18 |
| 1518429240 | Care Alliance | Family Medicine | 4050 Superior Ave Fl 3, Cleveland, OH 44103-1128 | 2019-04-02 |
| 1659808236 | Tara K Iyer | Family Medicine | Women's Health Institute 9500 Euclid Ave A81, Cleveland, OH 44195-0001 | 2017-05-15 |
| 1972958072 | Matthew Novin | Family Medicine | 15105 St Clair Ave, Cleveland, OH 44110-1111 | 2016-04-27 |
| 1235519166 | Michelle Caster | Family Medicine | 11100 Euclid Ave # B200, Cleveland, OH 44106 | 2015-06-05 |
| 1437545720 | Keisha Danielle Sullivan | Family Medicine | 11100 Euclid Ave Fl Bolwell6, Cleveland, OH 44106 | 2015-04-13 |
| 1356747679 | Rmi Holding Corporation, Inc | Family Medicine | 3854 Candies Creek Ln Nw, Cleveland, TN 37312-1863 | 2014-11-13 |
| 1326450123 | Anna Camille Moreno | Family Medicine | 9500 Euclid Ave # A1-854, Cleveland, OH 44195-1101 | 2014-05-28 |
| 1568874816 | Garrett L Kirkpatrick | Family Medicine | The Cleveland Clinic Foundation 9500 Euclid Ave, Cleveland, OH 44195-4420 | 2014-05-21 |
| 1104250448 | Aaron Doss Samuel | Family Medicine | 3178 Chestnut Cir Nw, Cleveland, TN 37312-2137 | 2013-08-22 |
| 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.