EATING DISORDER MEDICAL SPECIALISTS OF CLEVELAND LLC (NPI# 1215280029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215280029 |
| Entity Type | Organization |
| Organization Name | EATING DISORDER MEDICAL SPECIALISTS OF CLEVELAND LLC |
| Practice Address |
25550 Chagrin Blvd 207 Beachwood OH 44122-5638 |
| Practice Telephone | 2167650500 |
| Practice Fax Number | 2167650521 |
| Mailing Telephone | 2167650500 |
| Mailing Fax Number | 2167650521 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | MACHELLE GIORDON (CREDENTIALING) |
| Authorized Official Telephone | 3307232111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35083837 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
25550 CHAGRIN BLVD 207 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871731208 | Julie A Norman | Dietitian, Registered | 25550 Chagrin Blvd, Suite 200, Beachwood, OH 44122-5638 | 2009-01-22 |
| 1013467968 | Jessica Kusina | Student in an Organized Health Care Education/Training Program | 25550 Chagrin Blvd, Suite #200, Beachwood, OH 44122-5638 | 2016-10-04 |
| 1861867582 | Katherine E Mcmahon | Social Worker | 25550 Chagrin Blvd, Suite 200, Beachwood, OH 44122-5638 | 2015-12-07 |
| 1992176085 | Glen Dawson | Student in an Organized Health Care Education/Training Program | 25550 Chagrin Blvd, #200, Beachwood, OH 44122-5638 | 2015-10-14 |
| 1013394733 | Valencia Harriott | Student in an Organized Health Care Education/Training Program | 25550 Chagrin Blvd, #200, Beachwood, OH 44122-5638 | 2015-05-01 |
| 1962832469 | Jessica Nasser | Student in an Organized Health Care Education/Training Program | 25550 Chagrin Blvd, #200, Beachwood, OH 44122-5638 | 2013-11-19 |
| 1811327430 | Steffany J Homolka | Student in an Organized Health Care Education/Training Program | 25550 Chagrin Blvd, #200, Beachwood, OH 44122-5638 | 2013-11-18 |
| 1124464581 | Emily V Patton | Psychologist | 25550 Chagrin Blvd, 200, Beachwood, OH 44122-5638 | 2013-05-13 |
| 1467790691 | Katelyn Burrows | Counselor | 25550 Chagrin Blvd, #200, Beachwood, OH 44122-5638 | 2013-01-23 |
| 1073866158 | April M Sobieralski | Psychologist | 25550 Chagrin Blvd, Suite 200, Beachwood, OH 44122-5638 | 2012-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237968 | Greater Cleveland Pediatrics | Pediatrics | 3311 Richmond Rd, Beachwood, OH 44122-4195 | 2020-08-31 |
| 1710191630 | Ira Taub | Pediatrics | 23250 Chagrin Blvd Ste 325, Akron Children's Hospital, Heart Center, Beachwood, OH 44122-5417 | 2007-05-09 |
| 1962533117 | Carol Weisman Beck | Pediatrics | 26463 Hendon Rd, Beachwood, OH 44122-2427 | 2007-03-08 |
| 1982632881 | Jan Kriwinsky | Pediatrics | 3690 Orange Pl Ste 100, Beachwood, OH 44122-4464 | 2006-06-29 |
| 1417943606 | Julie Anne Hertzer | Pediatrics | 3733 Park East Dr, Suite 102, Beachwood, OH 44122-4338 | 2005-09-22 |
| 1124220942 | Amy Elizabeth Sniderman | Pediatrics | 26900 Cedar Rd, Suite 27n, Beachwood, OH 44122-1191 | 2007-06-04 |
| 1184833808 | Arthur Lavin Md, Inc. | Pediatrics | 3733 Park East Dr, Suite 102, Beachwood, OH 44122-4338 | 2007-05-21 |
| 1548365679 | Arthur Lavin | Pediatrics | 3733 Park East Dr, Suite 102, Beachwood, OH 44122-4338 | 2006-09-13 |
| 1346274719 | Alla Sherman | Pediatrics | 3619 Park East Dr, Suite 210, Beachwood, OH 44122-4312 | 2006-07-10 |
| 1710919907 | Bettina G Reyes | Pediatrics | 3690 Orange Pl Ste 100, Beachwood, OH 44122-4464 | 2006-07-07 |
| Find all providers in BEACHWOOD | ||||
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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.