BIRCHCREST HOLDINGS, LLC (NPI# 1164726360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164726360 |
| Entity Type | Organization |
| Organization Name | BIRCHCREST HOLDINGS, LLC |
| Other Organization Name | PDI SOUTH |
| Practice Address |
4760 Richmond Rd Ste 300 Cleveland OH 44128 |
| Mailing Address |
4760 Richmond Rd Ste 300 Cleveland OH 44128-5979 |
| Practice Telephone | 2167658390 |
| Practice Fax Number | 2167658392 |
| Mailing Telephone | 2167658390 |
| Mailing Fax Number | 2167658392 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | JACK CORNELL (PRESIDENT) |
| Authorized Official Telephone | 2167658390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PDI SOUTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487991360 | Birchcrest Holdings, LLC | Clinic/Center | 19250 Bagley Rd Ste 202, Cleveland, OH 44130 | 2013-01-11 |
| 1457712598 | Birchcrest Holdings, LLC | Clinic/Center | 6800 Ridge Rd, Parma, OH 44129-5627 | 2016-03-17 |
| 1629439765 | Birchcrest Holdings, LLC | Clinic/Center | 30400 Detroit Rd, #30 - Lower Level, Westlake, OH 44145-1872 | 2016-03-17 |
| 1437541224 | Birchcrest Holdings, LLC | Clinic/Center | 3443 Medina Rd, Suite 103, Medina, OH 44256-5360 | 2015-03-03 |
| Street Address |
4760 RICHMOND RD STE 300 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345286 | Aellen Home Care LLC | In Home Supportive Care | 4731 Country Lane, Apt B30, Warrensville Hts, OH 44128 | 2020-10-29 |
| 1740813450 | Lakeithia Carter | Case Management | 4663 Walford Rd, 6, Warrensville, OH 44128 | 2020-02-20 |
| 1336706795 | Jeanna S Cannon | Home Health Aide | 20571 Ellacott Parkway, Suite 633, Warrensville Hts, OH 44128 | 2019-05-21 |
| 1003301672 | Johnny Cleaver Huff | Peer Specialist | 17005 Deforest Ave, Cleveland, OH 44128 | 2018-06-26 |
| 1952891905 | Golden Hearts Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 19704 Longbrook Rd, Warrensville Heights, OH 44128 | 2018-05-15 |
| 1326537671 | Hollie Irving | Case Manager/Care Coordinator | 3860 E 149th St, Cleveland, OH 44128 | 2018-05-02 |
| 1083128789 | Cherae Daniel | Licensed Practical Nurse | 4101 East 151 Street, Cleveland, OH 44128 | 2017-11-17 |
| 1770007023 | Lynda Robinson | Occupational Therapist | 25001 Emery Rd, Suite 100, Warrensville Hts, OH 44128 | 2017-07-28 |
| 1205285608 | Leslie Johnson | Licensed Practical Nurse | 4085 East 175 Th Street, Cleveland, OH 44128 | 2016-06-07 |
| 1083094742 | Elaina Patterson | Licensed Practical Nurse | 4100 E. 154th St, Cleveland, OH 44128 | 2015-06-08 |
| Find all providers in zip 44128 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337816 | Leonardo Kayat Bitencourt | Radiology | 11100 Euclid Ave # Bsh5056, Cleveland, OH 44106-1716 | 2020-08-24 |
| 1326605957 | Erol Bozdogan | Radiology | 9500 Euclid Ave # L10-413, Cleveland, OH 44195-0001 | 2019-05-20 |
| 1790720779 | Jason Kendell Morris | Radiology | 618 Frederick Dr, Cleveland, MS 38732-2006 | 2006-06-16 |
| 1962754341 | Bandar Safar | Radiology | 9500 Euclid Ave, Cleveland, OH 44195-1553 | 2012-10-09 |
| 1639435985 | Douglas Nachand | Radiology | 2500 Metrohealth Drive, Cleveland, OH 44109-1998 | 2012-04-11 |
| 1669761896 | Isaac Jeffrey Dahan | Radiology | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2011-03-28 |
| 1437356722 | Vikas Jain | Radiology | 2500 Metrohealth Dr, Mhmc-radiology, Cleveland, OH 44109-1900 | 2007-06-29 |
| 1558564773 | Lucy R Freedy | Radiology | 11100 Euclid Avenue, Cleveland, OH 44106 | 2007-06-06 |
| 1528158532 | Phc-cleveland Inc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386081248 | All-american Teleradiology LLC | Radiology | 27005 Knickerbocker Rd, Bay Village, OH 44140-2383 | 2013-05-31 |
| 1821385485 | Richard Smillie | Radiology | 100 E Campus View Blvd Ste 100, Columbus, OH 43235-8628 | 2011-07-05 |
| 1497929046 | Alison C. Greiwe | Radiology | 2959 Meadowbrook Blvd, Cleveland Heights, OH 44118-2868 | 2008-04-15 |
| 1437268695 | Sampath Kumar V Alapati | Radiology | 12426 Steeplechase Ln, Strongsville, OH 44149-9276 | 2006-08-30 |
| 1457302309 | Precision Open Mri LLC | Radiology | 4760 Richmond Rd, Warrensville Heights, OH 44128-5978 | 2006-05-15 |
| 1912982034 | Radiology Associates of Canton, Inc. | Radiology | 2600 Sixth St. Sw, Radiology Associates of Canton, Inc-attn: Cecilia, Canton, OH 44710 | 2005-12-13 |
| 1982685848 | John Nathan Berry | Radiology | 88 Mdg/dts, 4881 Sugar Maple Dr, Dayton, OH 45453-5529 | 2005-11-08 |
| 1245231240 | Health Bridge Imaging LLC | Radiology | 809 Farson Street, Unit 107, Belpre, OH 45714-1066 | 2005-08-02 |
| 1700885142 | Michael W Soehnlen | Radiology | 2600 6th St Sw, Radiology Associates of Canton, Inc., Canton, OH 44710-1702 | 2005-07-19 |
| 1376960419 | Michael Thomas Martin | Radiology | 471 E Broad St Ste 1400, Columbus, OH 43215-3806 | 2014-03-26 |
| 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.