SHU LAN PENG (NPI# 1457827107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457827107 |
| Entity Type | Individual |
| Full Name | SHU LAN PENG |
| Credential | ACNP |
| Practice Address |
24755 Chagrin Blvd Ste 135 Beachwood OH 44122-5689 |
| Mailing Address |
22614 Halburton Rd Beachwood OH 44122-3971 |
| Practice Telephone | 2163832834 |
| Mailing Telephone | 2169036685 |
| Enumeration Date | 2018-10-21 |
| Last Update Date | 2018-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN.CNP.023533 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24755 CHAGRIN BLVD STE 135 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427081728 | Englok Yap | Anesthesiology | 24755 Chagrin Blvd Ste 135, Beachwood, OH 44122-5689 | 2006-07-09 |
| 1255741831 | Cleveland Pain Management and Acupuncture LLC | Anesthesiology | 24755 Chagrin Blvd Ste 135, Beachwood, OH 44122-5689 | 2014-05-05 |
| 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 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540483 | Laura Nikole Erskine Penix | Nurse Practitioner | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2020-02-13 |
| 1295384352 | Kimberly S. Nielsen | Nurse Practitioner | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2019-09-10 |
| 1255819660 | Randy Gerrick | Nurse Practitioner | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2018-07-30 |
| 1568971497 | Christina Greig | Nurse Practitioner | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2017-09-22 |
| 1396154225 | Stephanie Fleming | Nurse Practitioner | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2014-08-05 |
| 1265741987 | Natalie Ferris Barbastefano | Nurse Practitioner | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2010-09-29 |
| 1831314582 | Kathleen Ann Carmon | Nurse Practitioner | 24050 Commerce Park, Beachwood, OH 44122-5831 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839844 | Jarred Lee Uhrig | Nurse Practitioner | 3535 Southern Blvd Ste 2100, Kettering, OH 45429-1221 | 2020-10-23 |
| 1982202768 | Stephanie Yvonne Alexander | Nurse Practitioner | 2936 S Patterson Blvd, Dayton, OH 45419-1311 | 2020-10-13 |
| 1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
| 1518565837 | Kristen Michelle Swartz | Nurse Practitioner | 1661 Holland Rd Ste 200, Maumee, OH 43537-1659 | 2020-10-09 |
| 1205443454 | Natalie Gayle Brosz | Nurse Practitioner | 1118 Black Horse Run, Loveland, OH 45140-9019 | 2020-09-30 |
| 1982211595 | Jessica Lynne Barnett | Nurse Practitioner | 6632 Echo Ln, Cincinnati, OH 45230-1414 | 2020-09-28 |
| 1538776513 | Krista Ann Korey | Nurse Practitioner | 763 Colbert Cir, Cincinnati, OH 45240-3617 | 2020-09-24 |
| 1104433036 | Kenneth Michael Moreland | Nurse Practitioner | 6824 Linbrook Blvd, Columbus, OH 43235-5117 | 2020-09-24 |
| 1215543582 | Eliezar Agaran | Nurse Practitioner | 4488 Aspen Dr, Liberty Twp, OH 45011-5210 | 2020-09-21 |
| 1609482058 | Noel Boyd | Nurse Practitioner | 7421 Dog Trot Rd, Cincinnati, OH 45248-1309 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHU LAN PENG.
| 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.