OUTREACH PROFESSIONAL SERVICES INC (NPI# 1184916033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184916033 |
| Entity Type | Organization |
| Organization Name | OUTREACH PROFESSIONAL SERVICES INC |
| Other Organization Name | ST VINCENT MEDICAL GROUP |
| Practice Address |
6701 Rockside Rd Suite 100 Independence OH 44131-2358 |
| Mailing Address |
Po Box 932127 Cleveland OH 44193-0008 |
| Practice Telephone | 2163280418 |
| Practice Fax Number | 2163280847 |
| Mailing Telephone | 2164722730 |
| Mailing Fax Number | 2164722740 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2014-10-02 |
| 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 |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| 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 |
| 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 |
| 1780866467 | Outreach Professional Services Inc | Internal Medicine | 2322 East 22nd St, Suite 207, Cleveland, PA 44145 | 2007-12-04 |
| Street Address |
6701 ROCKSIDE RD SUITE 100 |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061702 | Eric William Boose | Family Medicine | 6701 Rockside Rd, Ste 260, Independence, OH 44131-2351 | 2005-05-23 |
| 1467990168 | Independence Accident and Injury Center, LLC | Chiropractor | 6701 Rockside Rd, Suite 230, Independence, OH 44131-2358 | 2017-02-02 |
| 1407207673 | Pai Medical Inc | Internal Medicine | 6701 Rockside Rd, #370, Independence, OH 44131-2358 | 2016-06-28 |
| 1710372560 | Brian Myers | Family Medicine | 6701 Rockside Rd, Independence, OH 44131 | 2015-03-30 |
| 1114326097 | Victoria Kucek | Anesthesiologist Assistant | 6701 Rockside Rd, Ste 200, Independence, OH 44131-2358 | 2014-08-18 |
| 1033522115 | Emanuela Pratt | Anesthesiologist Assistant | 6701 Rockside Rd, Suite 200, Independence, OH 44131-2358 | 2014-06-06 |
| 1164798906 | Mark L Allen Md, Inc | Anesthesiology | 6701 Rockside Rd, Suite 200, Independence, OH 44131-2358 | 2012-03-27 |
| 1609164789 | Anthony R Tripi | Anesthesiologist Assistant | 6701 Rockside Rd, Ste 200, Independence, OH 44131-2358 | 2011-07-11 |
| 1174829378 | Lisa M Schnell | Physician Assistant | 6701 Rockside Rd, Suite 103, Independence, OH 44131-2358 | 2011-02-04 |
| 1548572977 | Hardeepak Shah | Family Medicine | 6701 Rockside Rd, Suite 260, Independence, OH 44131-2358 | 2010-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1144614645 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 515 3rd Street, Independence, LA 70443 | 2015-03-23 |
| 1649683368 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3411 S Noland Rd, Independence, MO 64055-1319 | 2014-06-10 |
| 1063830461 | Hanger Prosthetics & Orthotics East, Inc. | Durable Medical Equipment & Medical Supplies | 19550 E 39th St S Ste 115, Independence, MO 64057-2329 | 2014-04-02 |
| 1285075119 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1315 West 23rd St, Independence, MO 64052 | 2013-07-08 |
| 1346588464 | Be Savvy Beauty Supply | Durable Medical Equipment & Medical Supplies | 3800 S Elizabeth St Ste H, Independence, MO 64057-2652 | 2013-01-24 |
| 1972730737 | Lainey Medical L.L.C. | Durable Medical Equipment & Medical Supplies | 16650 E Us Highway 40, Suite C, Independence, MO 64055-5327 | 2009-06-18 |
| 1538309620 | Gary Nickel, Od, Pa | Durable Medical Equipment & Medical Supplies | 404 N 14th St, Independence, KS 67301-2909 | 2009-03-02 |
| 1518157049 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 17844 E 23rd St S Ste D404, Independence, MO 64057-1840 | 2007-07-31 |
| 1669662631 | Tromar Dme Supplies, LLC | Durable Medical Equipment & Medical Supplies | 312 West 4th Street, Independence, LA 70443 | 2007-07-26 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
Please comment or provide details below to improve the information on OUTREACH PROFESSIONAL SERVICES INC.
| 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.