CANDICE L IRVIN


Address: 4110 Warrensville Center Rd, Beachwood, OH 44122-7024
Phone: 2164916000

CANDICE L IRVIN (NPI# 1326195967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326195967
Entity Type Individual
Full Name CANDICE L IRVIN
Other Name CANDICE L KEENAN
Credential C.N.P.
Practice Address 4110 Warrensville Center Rd
Beachwood
OH 44122-7024
Mailing Address Po Box 74647
Cleveland
OH 44194-0730
Practice Telephone 2164916000
Mailing Telephone 4408790081
Mailing Fax Number 4408790084
Enumeration Date 2007-01-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
NP-09145 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4110 WARRENSVILLE CENTER RD
City BEACHWOOD
State OH
Zip Code 44122-7024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902124035 Michelle Ferrer Wallen Emergency Medicine 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 2010-05-13
1598083628 Valerie Ann Erdman Internal Medicine 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 2010-05-13
1437477569 Nicholas Randolph Erdman Emergency Medicine 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 2010-05-13
1669613592 Lili Ann Lustig Family Medicine 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 2009-03-24
1326234394 Linda D Pasek Clinical Nurse Specialist 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 2007-09-24
1003006727 Katherine Anne Gambacorta Anesthesiology 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 2007-07-30
1275723215 Abelash Kattangur Reddy Anesthesiology 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 2007-07-26
1942406459 Gregory Mathew Skowronski Student in an Organized Health Care Education/Training Program 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 2007-06-22
1992909527 Brian Andrew Romito Student in an Organized Health Care Education/Training Program 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 2007-06-14
1215131842 Jeremy Robert Edmiston Emergency Medicine 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 2007-06-14
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205210598 Joanne Kathleen Bickerton Nurse Practitioner 3025 Science Park Dr, Beachwood, OH 44122-7333 2015-07-16
1467086041 Nicholas Pawlowski Nurse Practitioner 3619 Park East Dr, Beachwood, OH 44122-4330 2020-02-24
1902439235 Kylene M Camilletti Nurse Practitioner 3999 Richmond Rd, Beachwood, OH 44122-6046 2020-02-14
1477019941 Anastasiya Pereskokova Nurse Practitioner 3999 Richmond Rd, Beachwood, OH 44122-6046 2019-02-20
1467921155 Gina M Restifo Nurse Practitioner 3999 Richmond Rd, Beachwood, OH 44122-6046 2018-11-26
1114401148 Kayla Elizabeth Aiosa Nurse Practitioner 27100 Cedar Rd, Beachwood, OH 44122-1156 2018-09-14
1770012429 Michal Gerblich Nurse Practitioner 3700 Park East Dr Ste 100, Beachwood, OH 44122-4339 2017-06-07
1891224549 Kristin L Bernstein Nurse Practitioner 3700 Park East Dr Ste 100, Beachwood, OH 44122-4339 2017-06-07
1871048256 Tracy Hunter Nurse Practitioner 3999 Richmond Rd, Beachwood, OH 44122-6046 2016-08-16
1417400136 Nicole Sedano Nurse Practitioner 3700 Park East Dr, Beachwood, OH 44122-4305 2016-07-28
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Competitor

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City BEACHWOOD
Zip Code 44122

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Dataset Information

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.

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