SAMUEL BLOOM SEIDMAN (NPI# 1174135016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174135016 |
| Entity Type | Individual |
| Full Name | SAMUEL BLOOM SEIDMAN |
| Credential | MA |
| Practice Address |
3518 W 25th St Cleveland OH 44109-1951 |
| Mailing Address |
12511 Clifton Blvd Apt 27 Lakewood OH 44107-6500 |
| Practice Telephone | 2167412241 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3518 W 25TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558304964 | Crystal Walker | Social Worker | 3518 W 25th St, Cleveland, OH 44109-1951 | 2006-06-14 |
| 1174124465 | Crystal Warfield | Registered Nurse | 3518 W 25th St, Cleveland, OH 44109-1951 | 2020-11-04 |
| 1033710538 | Vicky Cherotich | Registered Nurse | 3518 W 25th St, Cleveland, OH 44109-1951 | 2020-11-03 |
| 1871190744 | Armani Davis | Community Health Worker | 3518 W 25th St, Cleveland, OH 44109-1951 | 2020-10-05 |
| 1831703560 | Emily Amendola | Community Health Worker | 3518 W 25th St, Cleveland, OH 44109-1951 | 2020-09-01 |
| 1003420738 | Jamie Gambrell | Community Health Worker | 3518 W 25th St, Cleveland, OH 44109-1951 | 2020-09-01 |
| 1134731995 | Khadeja Najjar | Student in an Organized Health Care Education/Training Program | 3518 W 25th St, Cleveland, OH 44109-1951 | 2020-08-21 |
| 1679185441 | Margarita Perez | Registered Nurse | 3518 W 25th St, Cleveland, OH 44109-1951 | 2020-08-21 |
| 1285246785 | Caylee Cunningham | Community Health Worker | 3518 W 25th St, Cleveland, OH 44109-1951 | 2020-08-18 |
| 1417567587 | Scott Saba Baul | Community Health Worker | 3518 W 25th St, Cleveland, OH 44109-1951 | 2020-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463862 | Kim El Haddad | Student in an Organized Health Care Education/Training Program | Cleveland Clinic Main Campus 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2020-09-29 |
| 1114531829 | Amanda Nicole Olevsky | Student in an Organized Health Care Education/Training Program | 1400 Parker Street, Cleveland, TN 37311-4566 | 2020-09-01 |
| 1295348431 | Brandi Williams | Student in an Organized Health Care Education/Training Program | 2200 Prospect Ave E, Cleveland, OH 44115-2673 | 2020-08-27 |
| 1487265625 | Rima Mayuresh Chaudhari | Student in an Organized Health Care Education/Training Program | Main Campus Cleveland Clinic 9500, Euclid Avenue Na-23, Cleveland, OH 44195-0001 | 2020-08-12 |
| 1134738263 | Alicia Lew | Student in an Organized Health Care Education/Training Program | 9501 Euclid Ave Rm 421q, Cleveland, OH 44106-4711 | 2020-07-24 |
| 1972112100 | Breandria Kamille Thompson | Student in an Organized Health Care Education/Training Program | Case Western Reserve University School of Medicine, Samson Pavilion 9501 Euclid Ave., Room 421q, Cleveland, OH 44106-7506 | 2020-07-23 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1003434507 | Ethan Jordan Lacourt | Student in an Organized Health Care Education/Training Program | 2082 Murray Hill Rd, Cleveland, OH 44106-2359 | 2020-07-10 |
| 1235757808 | Hinali Kirit Patel | Student in an Organized Health Care Education/Training Program | 10000 Lamont Ave Unit 12, Cleveland, OH 44106-4149 | 2020-07-10 |
| 1497376644 | Andrea Sisti | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave Bldg 6th Floor, Crile Building, Cleveland Clinic Main Campus, Dept of Plastic Surgery, Cleveland, OH 44195-0001 | 2020-04-29 |
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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.