CLEVELAND ADVANCED SURGICAL LLC (NPI# 1427310168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427310168 |
| Entity Type | Organization |
| Organization Name | CLEVELAND ADVANCED SURGICAL LLC |
| Practice Address |
36100 Euclid Ave Suite 330b Willoughby OH 44094-4456 |
| Mailing Address |
Po Box 22958 Cleveland OH 44122-0958 |
| Practice Telephone | 4409538055 |
| Practice Fax Number | 4409530242 |
| Mailing Telephone | 2165959600 |
| Mailing Fax Number | 2165959601 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |
| Authorized Official Name | IFEOMA J IGBOELI (OWNER) |
| Authorized Official Telephone | 4409538055 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35098122 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
36100 EUCLID AVE SUITE 330B |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-4456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508859497 | Khalil Azem | Otolaryngology | 36100 Euclid Ave, Ste 350, Willoughby, OH 44094-4456 | 2005-08-25 |
| 1649711870 | Sabina Sibi | Nurse Practitioner | 36100 Euclid Ave, #350, Willoughby, OH 44094-4456 | 2017-03-20 |
| 1013310051 | Kimberly Salcer | Nurse Practitioner | 36100 Euclid Ave, Suite 270, Willoughby, OH 44094-4456 | 2014-10-06 |
| 1174963235 | Kristan J. Bryant | Nurse Practitioner | 36100 Euclid Ave, Suite 400, Willoughby, OH 44094-4456 | 2013-07-03 |
| 1558651968 | Cleveland Eye Care & Surgery, Inc. | Ophthalmology | 36100 Euclid Ave, Suite 450, Willoughby, OH 44094-4456 | 2011-04-19 |
| 1922308774 | Eastside Primary Care LLC | Internal Medicine | 36100 Euclid Ave, #430, Willoughby, OH 44094-4456 | 2010-10-27 |
| 1013227628 | George Eli Drogomir | Internal Medicine | 36100 Euclid Ave, Suite 170, Willoughby, OH 44094-4456 | 2010-10-15 |
| 1710295829 | Lake Hospital System | Internal Medicine | 36100 Euclid Ave, Suite 400, Willoughby, OH 44094-4456 | 2010-09-23 |
| 1073839783 | Boris Vinogradsky Md Inc | Surgery | 36100 Euclid Ave, Willoughby, OH 44094-4456 | 2010-04-20 |
| 1225263528 | Paul R Zellers | Internal Medicine | 36100 Euclid Ave, Willoughby, OH 44094-4456 | 2009-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447696059 | Sean Mcphillips | Surgery | 5734 Amber Ct, Willoughby, OH 44094-3062 | 2013-05-22 |
| 1821280223 | Patrick Daniel Huck | Surgery | 5105 Som Center Rd # 107, Willoughby, OH 44094-4203 | 2007-08-10 |
| 1417028556 | Aviv Ben-meir | Surgery | 36100 Euclid Ave Ste 170, Willoughby, OH 44094-4475 | 2006-11-12 |
| 1447220025 | Boris Vinogradsky | Surgery | 36100 Euclid Ave Ste 330b, Willoughby, OH 44094-4489 | 2006-01-25 |
| 1073839783 | Boris Vinogradsky Md Inc | Surgery | 36100 Euclid Ave, Willoughby, OH 44094-4456 | 2010-04-20 |
| 1932434289 | Outreach Professional Services, Inc. | Surgery | 36060 Euclid Ave, Suite 107, Willoughby, OH 44094-4656 | 2009-10-05 |
| 1124255278 | Lake Hospital System, Inc. | Surgery | 36001 Euclid Ave, B-3, Willoughby, OH 44094-4643 | 2009-06-16 |
| 1144336470 | William J Petraiuolo | Surgery | 36060 Euclid Ave, Suite 204, Willoughby, OH 44094 | 2006-08-21 |
| 1508800426 | Lake Hospital System Inc | Surgery | 36060 Euclid Ave, Suite 204, Willoughby, OH 44094-4656 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1629603725 | Anil Vaidya | Surgery | 100 East Euclid Avenue, Cleveland, OH 44195-0001 | 2020-03-09 |
| 1205473766 | Serita Barnard | Surgery | Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-12-04 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1760040265 | Ohio Bariatrics and Laparoscopy LLC | Surgery | 7931 Country Brook Ct, Springboro, OH 45066-8469 | 2019-05-31 |
| 1275093122 | Michael Curran | Surgery | 3140 Legacy Trce, Cincinnati, OH 45237-1724 | 2019-03-25 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1215401518 | Tina Lorenz | Surgery | 7310 Galena Ave Nw, Canal Fulton, OH 44614-8233 | 2019-01-20 |
| Find all providers with the same taxonomy | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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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.