DR. SALLY NAMBOODIRI (NPI# 1306931316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306931316 |
| Entity Type | Individual |
| Full Name | DR. SALLY NAMBOODIRI |
| Credential | M.D. |
| Practice Address |
4242 Lorain Ave Cleveland OH 44113-3715 |
| Practice Telephone | 2169390699 |
| Practice Fax Number | 2169390789 |
| Mailing Telephone | 2169390699 |
| Mailing Fax Number | 2169390789 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 35063103 | OH | Hospitals |
| Street Address |
4242 LORAIN AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356351571 | Cindy Ann Farina | Nurse Practitioner | 4242 Lorain Ave, Suite 233, Cleveland, OH 44113-3715 | 2006-08-09 |
| 1497260525 | Jeannie Ellen Johnson | Nurse Practitioner | 4242 Lorain Ave, Cleveland, OH 44113-3715 | 2017-12-12 |
| 1497145098 | Leandria Tazewell | Family Medicine | 4242 Lorain Ave, Cleveland, OH 44113 | 2015-02-03 |
| 1447403621 | City of Cleveland Dept. of Public Health | Public Health or Welfare | 4242 Lorain Ave, Cleveland, OH 44113-3715 | 2008-10-31 |
| 1073679247 | Douglas P Vanauken | Family Medicine | 4242 Lorain Ave, Thomas F Mccafferty Health Center, Cleveland, OH 44113-3715 | 2006-12-29 |
| 1265526487 | Truvy I Cohen | Internal Medicine | 4242 Lorain Ave, Cleveland, OH 44113-3715 | 2006-10-03 |
| 1144338930 | Eric G Friess | Family Medicine | 4242 Lorain Ave, Thomas F. Mccafferty Health Center, Cleveland, OH 44113-3715 | 2006-08-29 |
| 1063527885 | Laurie Ekstein | Pediatrics | 4242 Lorain Ave, Thomas F. Mccafferty Health Center, Cleveland, OH 44113-3715 | 2006-08-20 |
| 1144231267 | James E Misak | Family Medicine | 4242 Lorain Ave, Thomas F Mccafferty Health Center, Cleveland, OH 44113-3715 | 2006-08-11 |
| 1992743934 | Cleveland Vamc | Clinic/Center | 4242 Lorain Ave, Cleveland, OH 44113-3715 | 2006-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649628595 | Gina John | General Acute Care Hospital | 14205 Liberty Ave, Cleveland, OH 44135-1461 | 2016-06-01 |
| 1053682690 | St Vincent Charity Medical Center | General Acute Care Hospital | 1700 E 13th St Apt 21x, Cleveland, OH 44114-3223 | 2012-01-12 |
| 1528348208 | Cleveland Clinic | General Acute Care Hospital | 9500 Euclid Ave # Q10, Cleveland, OH 44195-0001 | 2011-08-25 |
| 1992097711 | University Hospital | General Acute Care Hospital | 6841 Day Dr Apt 801, Cleveland, OH 44129-5450 | 2011-05-12 |
| 1306177514 | Michel Pierre Moreau | General Acute Care Hospital | 9500 Euclid Ave # 31, Cleveland, OH 44195-0001 | 2010-01-28 |
| 1518197243 | Cleveland Clinic Foundation | General Acute Care Hospital | 13700 Fairhill Rd Apt 401, Cleveland, OH 44120-1275 | 2009-07-15 |
| 1336316389 | Cleveland Clinic | General Acute Care Hospital | Cleveland Clinic 9500 Euclid Ave H35, Cardiothoracic Surgery, Cleveland, OH 44195-0001 | 2008-05-09 |
| 1548430275 | Cleveland Clinic | General Acute Care Hospital | A30, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2008-03-10 |
| 1306014451 | University Hospitals | General Acute Care Hospital | 11400 Euclid Ave, Cleveland, OH 44106-5943 | 2008-02-12 |
| 1780874206 | University Hospitals Health System | General Acute Care Hospital | 11100 Euclid Ave, Lks 5029, Cleveland, OH 44106 | 2007-07-31 |
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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.