MARYJO CLEVELAND (NPI# 1598724148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598724148 |
| Entity Type | Individual |
| Full Name | MARYJO CLEVELAND |
| Credential | MD |
| Practice Address |
75 Arch St Suite G2 Akron OH 44304-1429 |
| Mailing Address |
525 E Market St P.o. Box 2090 Akron OH 44304-1619 |
| Practice Telephone | 3303754100 |
| Practice Fax Number | 3303754097 |
| Mailing Telephone | 3309960347 |
| Mailing Fax Number | 3309960359 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2012-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
35-057104 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0893565 | 05 |
| Street Address |
75 ARCH ST SUITE G2 |
| City | AKRON |
| State | OH |
| Zip Code | 44304-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561635 | Lara Burrows | Obstetrics & Gynecology | 75 Arch St, Ste. 102, Akron, OH 44304-1429 | 2005-07-13 |
| 1417508151 | Iris Alisa Javersak | Physician Assistant | 75 Arch St, Akron, OH 44304-1429 | 2019-09-24 |
| 1992281810 | Andrea Lynn Hobson | Physician Assistant | 75 Arch St, Akron, OH 44304-1429 | 2018-07-13 |
| 1134671944 | Kelly Dana Quirk | Nurse Practitioner | 75 Arch St, Suite G2, Akron, OH 44304-1429 | 2016-10-27 |
| 1639627342 | Renee Majoy | Nurse Practitioner | 75 Arch St, Akron, OH 44304-1429 | 2016-09-12 |
| 1427409663 | Dominic Terzigni | Nurse Practitioner | 75 Arch St, Suite 206, Akron, OH 44304-1429 | 2016-06-29 |
| 1982064119 | Kristin Roberts | Nurse Practitioner | 75 Arch St, Suite G2, Akron, OH 44304-1429 | 2016-03-01 |
| 1588046544 | Janet Wong | Dentist | 75 Arch St, Suite 303, Akron, OH 44304-1429 | 2015-06-25 |
| 1649681917 | Summa Physicians Inc | Psychologist | 75 Arch St, Ste. 410, Akron, OH 44304-1429 | 2014-05-08 |
| 1801206461 | Catherine Rosenthal | Clinical Nurse Specialist | 75 Arch St, Suite 301, Akron, OH 44304-1429 | 2014-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
| 1053940916 | Priyanka Malini Ravindran | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1467081349 | Savannah Chavez | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1255960357 | Nicholas Gilliam | Student in an Organized Health Care Education/Training Program | Summa Health/psychiatry 525 E. Market Street, Akron, OH 44304 | 2020-04-02 |
| 1184252462 | Megan Carlson Ptasinski | Student in an Organized Health Care Education/Training Program | Summa Health/obgyn, 525 East Market St., Akron, OH 44304 | 2020-03-31 |
| 1871121889 | Haley Marie Coleman | Student in an Organized Health Care Education/Training Program | Summa Health/ Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-03-27 |
| 1154963387 | Andrew Tkacik | Physician Assistant | 151 N Forge St, Akron, OH 44304 | 2019-10-09 |
| 1457918328 | Brandy Deem | Counselor | 87 N Forge St, Akron, OH 44304 | 2019-05-24 |
| 1184187445 | Zoe Nastasic Jones | Student in an Organized Health Care Education/Training Program | Summa Health 525 East Market St., Akron, OH 44304 | 2019-04-12 |
| 1780147751 | Nidhi Khullar | Student in an Organized Health Care Education/Training Program | Summa Health Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2019-04-08 |
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| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427261692 | Preeti Betkerur | Internal Medicine | 75th Arch St, Suite G 2, Akron, OH 44304 | 2007-05-07 |
| 1881727766 | Suban M Razack M D Inc | Internal Medicine | 1134 Brown St, Suite 1b, Akron, OH 44301-1964 | 2007-03-13 |
| 1821184995 | Suban M. Razack, M.d., Inc | Internal Medicine | 1134 Brown St Ste 1b, Akron, OH 44301-1964 | 2006-10-05 |
| 1326591876 | Naga Venkata Rama Kr Vura | Internal Medicine | 1 Akron General Ave, Akron, OH 44307-2432 | 2016-08-02 |
| 1508286592 | Audra Elizabeth Krebs | Internal Medicine | 75 Arch St Ste G2, Akron, OH 44304-1430 | 2014-04-17 |
| 1851719942 | Barbara Amanambu | Internal Medicine | 1 Akron General Ave, Akron, OH 44307-2432 | 2014-04-04 |
| 1083924450 | Arifa Abid | Internal Medicine | 75 Arch St, Suite G2, Akron, OH 44304-1429 | 2010-10-19 |
| 1386891133 | Yoleetah C Ilodi | Internal Medicine | 75 Arch St Ste G2, Akron, OH 44304-1430 | 2008-08-24 |
| 1205009107 | Summa Physicians Inc. | Internal Medicine | 3043 Sanitarium Rd, Suite 1, Akron, OH 44312-4600 | 2008-04-11 |
| 1861671828 | C E Cornacchione LLC | Internal Medicine | 717 Canton Rd, Akron, OH 44312-2606 | 2007-10-26 |
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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.