CLEVELAND STATE UNIVERSITY (NPI# 1164704995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164704995 |
| Entity Type | Organization |
| Organization Name | CLEVELAND STATE UNIVERSITY |
| Practice Address |
2121 Euclid Ave Cleveland OH 44115-2214 |
| Mailing Address |
Po Box 819020 Dallas TX 75381-9020 |
| Practice Telephone | 2166875287 |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |
| Authorized Official Name | CHRIS LACSAMANA (HEAD ATHLETICS TRAINER) |
| Authorized Official Telephone | 2166875287 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Street Address |
2121 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023090974 | Cleveland State University Health and Wellness Services | Clinic/Center | 2121 Euclid Ave, Un 263, Cleveland, OH 44115-2214 | 2005-11-16 |
| 1083189641 | Gabrielle Elizabeth Miller | Specialist/Technologist | 2121 Euclid Ave, Cleveland, OH 44115-2214 | 2018-10-10 |
| 1376037937 | Jacqueline K. Wise | Specialist/Technologist | 2121 Euclid Ave, Cleveland, OH 44115-2226 | 2018-06-18 |
| 1790227791 | Takuya Kikuchi | Specialist/Technologist | 2121 Euclid Ave, Sb6, Cleveland, OH 44115 | 2016-11-08 |
| 1609272608 | Myrita Yvonne Wilhite | Audiologist | 2121 Euclid Ave, Mc 430, Cleveland, OH 44115-2214 | 2014-11-18 |
| 1518363514 | Brigette Culliver | Speech-Language Pathologist | 2121 Euclid Ave, Mc 429, Cleveland, OH 44115-2214 | 2014-11-18 |
| 1669885844 | Michael Spriggs | Specialist/Technologist | 2121 Euclid Ave, Pe Bldg - Sb6, Cleveland, OH 44115-2214 | 2014-06-05 |
| 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 | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053944 | Case Western Reserve University | Clinic/Center | 2145 Adelbert Road - University Health Service, Cleveland, OH 44106-4901 | 2018-11-30 |
| 1023090974 | Cleveland State University Health and Wellness Services | Clinic/Center | 2121 Euclid Ave, Un 263, Cleveland, OH 44115-2214 | 2005-11-16 |
| 1346762606 | Saif Munther Za'al Al Borgan | Clinic/Center | Cleveland Clinic 9500 Euclid Avenue/na-23, Cleveland, OH 44195-7408 | 2017-07-08 |
| 1790169381 | St. Vincent Charity Medical Center | Clinic/Center | 2351 E 22nd St, Suite 342w, Cleveland, OH 44115-3111 | 2015-07-14 |
| 1730467648 | Delta State University | Clinic/Center | 1003 W Sunflower Rd, Cleveland, MS 38733-0001 | 2011-07-26 |
| 1497053904 | Cleveland School District | Clinic/Center | 305 Merritt Dr, Cleveland, MS 38732-2247 | 2011-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215875 | Community Health & Wellness Partners of Logan County | Clinic/Center | 7208 Us Highway 68 N Ste 2, West Liberty, OH 43357-9663 | 2020-11-06 |
| 1306329792 | Amazing Creations, LLC. | Clinic/Center | 316 N Michigan St # 238, Toledo, OH 43604-5667 | 2018-09-11 |
| 1265898134 | Complete Care | Clinic/Center | 1310 S Danley Sq, Lorain, OH 44052-2259 | 2016-01-07 |
| 1912106519 | The College of Wooster | Clinic/Center | 570 E. Wayne Avenue, Wooster, OH 44691 | 2007-07-13 |
| 1831230184 | Dayton Public Schools | Clinic/Center | 115 S Ludlow St, Dayton, OH 45402-1812 | 2007-02-09 |
| 1730157272 | Baldwin Wallace University | Clinic/Center | 207 Beech St, Berea, OH 44017-2088 | 2006-03-10 |
| 1396710679 | University of Cincinnati | Clinic/Center | University of Cincinnati/university Health Service, 1007 Holmes Hospital, Cincinnati, OH 45267-0460 | 2006-02-21 |
| 1396373122 | Lisa Coleman | Clinic/Center | 370 W 9th Ave, Columbus, OH 43210-1238 | 2020-03-28 |
| 1528693652 | Madonna Enwe | Clinic/Center | 370 W 9th Ave, Columbus, OH 43210-1238 | 2020-03-09 |
| 1225677065 | Heart of Ohio Family Health Centers | Clinic/Center | 675 S Yearling Rd Ste 100, Columbus, OH 43213-2800 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
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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.