CLEVELAND PERFORMANCE CHIROPRACTIC, LLC (NPI# 1568002137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568002137 |
| Entity Type | Organization |
| Organization Name | CLEVELAND PERFORMANCE CHIROPRACTIC, LLC |
| Practice Address |
15713 Detroit Ave Lakewood OH 44107-3709 |
| Mailing Address |
6018 Madison Ave Cleveland OH 44102-4356 |
| Practice Telephone | 3305544232 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | DR. KEVIN BURROUGHS (OWNER) |
| Authorized Official Telephone | 3305544232 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 108 W College St, Kent, OH 442403509 | 4405755323 | 4405755323 |
| Street Address |
15713 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578070280 | Kevin Burroughs | Chiropractor | 15713 Detroit Ave, Lakewood, OH 44107-3709 | 2018-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1467943548 | Muveology Corporation | Clinic/Center | 8790 W Colfax Ave Ste 10, Lakewood, CO 80215-4025 | 2018-05-23 |
| 1528566205 | Choice Counseling & Recovery LLC | Clinic/Center | 7585 W Arkansas Ave Ste 207, Lakewood, CO 80232-5425 | 2018-01-26 |
| 1174988802 | My Care Urgent Care LLC | Clinic/Center | 108 Hillside Blvd, Lakewood, NJ 08701-3148 | 2015-12-23 |
| 1992187553 | Colorado Optimal Health | Clinic/Center | 200 Union Blvd Ste 430, Lakewood, CO 80228-1832 | 2015-06-19 |
| 1295997153 | Ace Counseling LLC | Clinic/Center | 959 S Saulsbury St, Lakewood, CO 80226-4513 | 2008-07-01 |
| 1265654958 | Avalon Clinic | Clinic/Center | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2007-05-03 |
| 1952526675 | South Cerritos Medical Group, Inc. | Clinic/Center | 20927 Norwalk Blvd, Lakewood, CA 90715-1545 | 2007-04-16 |
| 1699271221 | Sound Body Chiropractic and Wellness LLC | Clinic/Center | 12792 W Alameda Pkwy Ste E, Lakewood, CO 80228-2846 | 2018-04-03 |
| 1699276980 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Clinic/Center | 355 Union Blvd, 100, Lakewood, CO 80228-1500 | 2018-02-22 |
| 1912416439 | Theraflex, LLC | Clinic/Center | 317 Cottage Pl, Lakewood, NJ 08701-3420 | 2017-09-27 |
| Find all providers in LAKEWOOD | ||||
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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.