CONSTANCE D MAGOULIAS (NPI# 1215966890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215966890 |
| Entity Type | Individual |
| Full Name | CONSTANCE D MAGOULIAS |
| Credential | MD |
| Practice Address |
4071 Lee Rd Metrohealth Lee-harvard Health Center Cleveland OH 44128-2100 |
| Practice Telephone | 2169571200 |
| Mailing Telephone | 2169571200 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2016-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 35048907 | OH | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
35048907 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0609194 | 05 |
| Street Address |
4071 LEE RD METROHEALTH LEE-HARVARD HEALTH CENTER |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44128-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063456416 | Nathan R Beachy | Family Medicine | 4071 Lee Rd, Metrohealth Lee-harvard Health Center, Cleveland, OH 44128-2100 | 2006-06-16 |
| 1538720651 | Fathallah Mohamed Fathallah Ghattas | Dentist | 4071 Lee Rd, Cleveland, OH 44128-2100 | 2019-06-28 |
| 1922565084 | Reem Nazarjasim Al Ameen | Dentist | 4071 Lee Rd, Cleveland, OH 44128-2100 | 2019-02-25 |
| 1346747946 | Osh-oh Physicians Group PC | Clinic/Center | 4071 Lee Rd, Cleveland, OH 44128 | 2018-04-10 |
| 1134512452 | Brittiny Brown | Pharmacist | 4071 Lee Rd, Cleveland, OH 44128-2100 | 2015-03-11 |
| 1285970947 | Bar-lor Inc. | Home Health | 4071 Lee Rd, Suite B1, Cleveland, OH 44128-2100 | 2012-12-27 |
| 1386911501 | Laticia Davon Jolly | Pharmacist | 4071 Lee Rd, Cleveland, OH 44128-2100 | 2011-11-17 |
| 1447563515 | Nishanthini Sooriyapalan | Family Medicine | 4071 Lee Rd, Cleveland, OH 44128-2100 | 2010-07-19 |
| 1831369743 | Christl C Howze | Physician Assistant | 4071 Lee Rd, Cleveland, OH 44128-2100 | 2008-03-06 |
| 1376730507 | Bar-lor Inc. | Home Health | 4071 Lee Rd, B1, Cleveland, OH 44128-2100 | 2007-10-02 |
| Find all providers in the same location | ||||
| 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 | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891096061 | At Home Primary Care Inc | Family Medicine | 4662 E Circle Dr Nw, Cleveland, TN 37312-4101 | 2010-11-04 |
| 1508845207 | Matthew Stevenson Wayne | Family Medicine | 12200 Fairhill Rd, Cleveland, OH 44120-1058 | 2006-01-11 |
| 1235585985 | Calvin Peacock Warner | Family Medicine | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2016-05-12 |
| 1932581493 | Lorella Luezas Shamakian | Family Medicine | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2015-06-22 |
| 1174897888 | Physician Onsite, Inc | Family Medicine | 3570 Keith St Nw, Cleveland, TN 37312-4309 | 2012-02-27 |
| 1174825244 | Robert B Elson | Family Medicine | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2010-11-23 |
| 1467781724 | University Hospitals Medical Group, Inc | Family Medicine | 11100 Euclid Ave, 1800, Cleveland, OH 44106-1716 | 2009-12-16 |
| 1134119829 | Outreach Professional Services Inc | Family Medicine | 2475 E 22nd St, Cleveland, OH 44115-3221 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922645779 | Francis Dapaah | Family Medicine | 1264 Brainard Rd, Lyndhurst, OH 44124-1404 | 2019-11-27 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1780009928 | Js Aesthetics | Family Medicine | 2400 Passage Key Trl, Xenia, OH 45385-9212 | 2014-02-25 |
| 1821422486 | Healthserve Medical Group LLC | Family Medicine | 2939 Kenny Rd Ste 200, Columbus, OH 43221-2406 | 2013-08-30 |
| 1902152366 | Mason Family Health Center LLC | Family Medicine | 7808 Derbyshire Ct, Liberty Township, OH 45044-9049 | 2012-08-02 |
| 1548539976 | Eva Ray Lefton | Family Medicine | 16 Deerfield Ln, Beachwood, OH 44122-7502 | 2011-12-13 |
| 1508189499 | Senior Care Physicians, Inc. | Family Medicine | 1745 Indian Wood Cir Ste 252, Maumee, OH 43537-4168 | 2010-03-05 |
| 1639404171 | Midwest Dysphagia Consultants, LLC | Family Medicine | 5710 Wooster Pike Ste 102, Cincinnati, OH 45227-4520 | 2009-10-15 |
| 1457589087 | John Tychonievich | Family Medicine | 2222 Welcome Pl, Columbus, OH 43209-7813 | 2009-06-22 |
| 1235311358 | Licking Memorial Professional Corp. | Family Medicine | 17 Forry St, Newark, OH 43055-4004 | 2007-11-30 |
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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.