KIVA SHTULL MD (NPI# 1255740619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255740619 |
| Entity Type | Organization |
| Organization Name | KIVA SHTULL MD |
| Practice Address |
4450 Saint Clair Ave Cleveland OH 44103-1126 |
| Practice Telephone | 2164310927 |
| Mailing Telephone | 2164310927 |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2014-08-10 |
| Authorized Official Name | DR. KIVA SHTULL (PHYSICIAN) |
| Authorized Official Telephone | 2164310927 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
051031 | OH | Ambulatory Health Care Facilities |
| Street Address |
4450 SAINT CLAIR AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44103-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295911279 | Dennis Albert Frinzl | Physician Assistant | 4450 Saint Clair Ave, Cleveland, OH 44103-1126 | 2008-01-21 |
| 1376094367 | Maureen Bridget Doolan | Physician Assistant | 4450 Saint Clair Ave, Cleveland, OH 44103-1126 | 2016-10-14 |
| 1760727499 | Occucenters East Side | Clinic/Center | 4450 Saint Clair Ave, Cleveland, OH 44103-1126 | 2012-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
| 1598325201 | Eliza Bryant Village | Day Training, Developmentally Disabled Services | 7201 Wade Park Ave., Cleaveland, OH 44103 | 2019-06-14 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1508340472 | Melody J Williams | Adult Companion | 7820 Euclid Ave, Cleveland, OH 44103 | 2018-09-18 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1336637453 | Heather Tully | Registered Nurse | 6700 Euclid Ave, Cleveland, OH 44103 | 2018-04-24 |
| 1033611355 | Circle Health Services | Clinic/Center | 4400 Euclid Avenue, Cleveland, OH 44103 | 2018-03-02 |
| 1922524032 | Carolyn Nicholas | Counselor | 1834 E 55th Street, Cleveland, OH 44103 | 2017-08-21 |
| 1619493764 | Horizon Educational Services Inc | Local Education Agency (LEA) | 6000 South Marginal, Cleveland, OH 44103 | 2017-08-21 |
| 1548783426 | Albert Pride Jr. | Counselor | 1804 East 55th Street, Cleveland, OH 44103 | 2017-07-21 |
| Find all providers in zip 44103 | ||||
| Taxonomy Code | 261QC1800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Corporate Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548504988 | Bravo Wellness, LLC | Clinic/Center | 20445 Emerald Pkwy Ste 400, Cleveland, OH 44135-6010 | 2012-11-26 |
| 1144348095 | D.j. Scott, D.m., D.c., LLC | Clinic/Center | 17023 Lorain Ave, Cleveland, OH 44111-5514 | 2007-03-27 |
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|---|---|---|---|---|
| 1083237887 | Safety Solutions of Kentucky, LLC | Clinic/Center | 8634 Reading Rd, Cincinnati, OH 45215-5529 | 2020-05-27 |
| 1548815046 | Summa Health System | Clinic/Center | 1825 Franks Pkwy, Uniontown, OH 44685-6249 | 2019-08-02 |
| 1710532213 | Summa Health System | Clinic/Center | 191 Wadsworth Rd, Wadsworth, OH 44281-9504 | 2019-08-02 |
| 1528613023 | Summa Health System | Clinic/Center | 4211 State Route 44 Ste 1560, Rootstown, OH 44272-9733 | 2019-08-02 |
| 1851958169 | Walton Mobile Np Oh LLC | Clinic/Center | 6539 Harrison Ave Ste 1156, Cincinnati, OH 45247-7822 | 2019-05-22 |
| 1598141798 | Cerner Health Connections, Inc. | Clinic/Center | 8745 Gander Creek Drive, Pnc Well-being Center @ Miamisburg Building #3, Miamisburg, OH 45342 | 2015-08-11 |
| 1811178619 | Acute Care Express LLC | Clinic/Center | 2515 Grandview Ave, Portsmouth, OH 45662-2770 | 2007-11-20 |
| 1730726027 | Summa Health System | Clinic/Center | 525 E Market St, Akron, OH 44304-1619 | 2019-12-05 |
| 1215582705 | Summa Health System | Clinic/Center | 3780 Medina Rd, Medina, OH 44256-9311 | 2019-08-02 |
| 1336617000 | Clay Health Network, LLC | Clinic/Center | 11427 Reed Hartman Hwy, Blue Ash, OH 45241-2418 | 2018-11-11 |
| 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.