OUTREACH PROFESSIONAL SERVICES INC (NPI# 1285816959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285816959 |
| Entity Type | Organization |
| Organization Name | OUTREACH PROFESSIONAL SERVICES INC |
| Other Organization Name | CUYAHOGA PHYSICIAN NETWORK |
| Practice Address |
26908 Detroit Rd Suite 200 Westlake OH 44414 |
| Mailing Address |
26908 Detroit Rd Suite 301 Westlake OH 44145-2398 |
| Practice Telephone | 4408716060 |
| Practice Fax Number | 4408716726 |
| Mailing Telephone | 4406171823 |
| Mailing Fax Number | 4406170884 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2010-01-12 |
| Authorized Official Name | MISTY A BLAYLOCK (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4408926406 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0251856 | 05 |
| Other Name | Type Code |
|---|---|
| Cuyahoga Physician Network | 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 |
| 1184916033 | Outreach Professional Services Inc | Durable Medical Equipment & Medical Supplies | 6701 Rockside Rd, Suite 100, Independence, OH 44131-2358 | 2011-05-11 |
| 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 |
| Street Address |
26908 DETROIT RD SUITE 200 |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235139767 | Michael A Adornetto | Internal Medicine | 26908 Detroit Rd, Ste 200, Westlake, OH 44145 | 2005-07-27 |
| 1063815587 | Lisa Brown | Nurse Practitioner | 26908 Detroit Rd, Suite 200, Westlake, OH 44145-2398 | 2014-09-29 |
| 1518368034 | Julie Wise | Dietitian, Registered | 26908 Detroit Rd, Suite 200, Westlake, OH 44145-2398 | 2014-09-16 |
| 1649689639 | Karen Moore | Nurse Practitioner | 26908 Detroit Rd, Suite 301, Westlake, OH 44145-2398 | 2014-08-05 |
| 1871904227 | Brittany Morgan Peters | Nurse Practitioner | 26908 Detroit Rd, Ste. 200, Westlake, OH 44145-2398 | 2014-05-19 |
| 1144650227 | Vanessa Duber | Nurse Practitioner | 26908 Detroit Rd, Suite 200, Westlake, OH 44145-2398 | 2013-11-26 |
| 1649610114 | Muhammad Raihan Malik | Internal Medicine | 26908 Detroit Rd, Ste. 200, Westlake, OH 44145-2398 | 2013-06-28 |
| 1467796417 | Julie Ellen Bradford | Nurse Practitioner | 26908 Detroit Rd, Ste. 200, Westlake, OH 44145-2398 | 2012-11-15 |
| 1679825947 | Maxine Paulraj-charles | Nurse Practitioner | 26908 Detroit Rd, Ste. 200, Westlake, OH 44145-2398 | 2012-10-10 |
| 1942564802 | Mary E Klecka | Internal Medicine | 26908 Detroit Rd, Ste. 200, Westlake, OH 44145-2398 | 2012-06-26 |
| Find all providers in the same location | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538647896 | Walden Healthcare, LLC. | Internal Medicine | 25200 Center Ridge Rd Ste 2301, Westlake, OH 44145-4141 | 2018-07-30 |
| 1538561006 | Prasanna Manjini Sengodan | Internal Medicine | 27411 Detroit Rd, Apt G24, Westlake, OH 44145-2284 | 2014-09-16 |
| 1457618456 | Gene Schwartz | Internal Medicine | 1301 Solona Blvd Ste 2200, Westlake, TX 76262-1769 | 2012-04-13 |
| 1538471610 | Sobia Khan | Internal Medicine | 25867 Kensington Dr, Westlake, OH 44145-1473 | 2010-07-06 |
| 1023343498 | Geoffrey Neil Champagne | Internal Medicine | 28367 Center Ridge Rd, Apartment B-23, Westlake, OH 44145-3868 | 2009-10-02 |
| 1174755953 | Faisal R Khan | Internal Medicine | 1301 Solana Blvd Ste 2200, Westlake, TX 76262-1769 | 2009-08-12 |
| 1477708154 | Megan Edmonsond | Internal Medicine | 27865 Clemens Rd, Westlake, OH 44145-1167 | 2008-11-23 |
| 1154599504 | Westshore Primary Care Assoc., Inc. | Internal Medicine | 28575 Westlake Village Dr, Westlake, OH 44145-3883 | 2008-02-19 |
| 1730373325 | Omar Malick | Internal Medicine | 1719 Settlers Reserve Way, Westlake, OH 44145-2044 | 2007-08-28 |
| 1295857423 | University Primary Care Practices Inc | Internal Medicine | 26908 Detroit Rd Ste 200, Westlake, OH 44145 | 2007-04-06 |
| Find all providers in WESTLAKE | ||||
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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.