ST JUDES MEDICAL CLINIC


Address: 7211 Broadway, Cleveland, OH 44105
Phone: 2162711947

ST JUDES MEDICAL CLINIC (NPI# 1609884592) 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) 1609884592
Entity Type Organization
Organization Name ST JUDES MEDICAL CLINIC
Practice Address 7211 Broadway
Cleveland
OH 44105
Practice Telephone 2162711947
Practice Fax Number 2162710106
Mailing Telephone 2162711947
Mailing Fax Number 2162710106
Enumeration Date 2006-08-04
Last Update Date 2010-02-22
Authorized Official Name DR. NELIDA R ENRIQUE (PRESIDENT TREASURER)
Authorized Official Telephone 2162711947
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 35033404 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0325866 05

Office Location

Street Address 7211 BROADWAY
City CLEVELAND
State OH
Zip Code 44105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770697658 Nelida Rocha Enrique General Practice 7211 Broadway, Cleveland, OH 44105 2006-08-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710525340 Horitta R Yelder Nurse's Aide 11305 Olney Ct., Cleveland, OH 44105 2019-12-13
1063982643 Jasmine Harris Case Manager/Care Coordinator 6410 S Broadway, Lorain, OH 44105 2018-11-27
1629596556 Amber M Stinnett Licensed Practical Nurse 11322 Matilda Ave., Cleveland, OH 44105 2017-08-30
1154848752 Latisha A Coleman Homemaker 4151 East 106st, Cleveland, OH 44105 2017-08-24
1235651605 Christina Roberson Nurse's Aide 3525 E.106 St, Cleveland, OH 44105 2017-07-07
1982139457 Robert Lucas Homemaker 9122 Miles, Cleveland, OH 44105 2017-04-21
1154719243 Sabrina L Kirksey Driver 7414 Park Avenue, Cleveland, OH 44105 2014-12-26
1518379643 Hope Academy Northcoast Campus Local Education Agency (LEA) 4310 E. 71st Street, Cleveland, OH 44105 2014-05-23
1366853301 Gabrielle Baker Contractor 4071 E. 59th St., Cleveland, OH 44105 2014-05-13
1407266174 Hermine Christine Terry Nurse's Aide 4096 E. 81 Street, Cleveland, OH 44105 2014-05-05
Find all providers in zip 44105

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093237802 Cle Medical & Rehabilitation LLC General Practice 1701 E 12th Street, Wg 240, Cleveland, OH 44114 2017-07-13
1700129244 Tyler Keith Mccurry General Practice 2253 Chambliss Ave Nw Ste 101, Cleveland, TN 37311-3861 2013-04-03
1669704094 Kuldeep Singh Md,llc General Practice 4804 Pearl Rd, Cleveland, OH 44109-5144 2010-02-10
1396964631 James Gray Adams General Practice 208 S Pearman Ave, Cleveland, MS 38732-3248 2007-04-25
1083753388 Harry Dady Simmons General Practice 11002 Detroit Ave, Cleveland, OH 44102 2007-02-05
1104434620 Moustafa Moussally General Practice 9500 Euclid Ave, Cleveland, OH 44195-0001 2020-07-21
1417441171 Margaret G Shaffer General Practice 11100 Euclid Ave, Cleveland, OH 44106 2018-06-17
1013449883 Caleb Nathaniel Seavey General Practice 9500 Euclid Ave, Cleveland, OH 44195-0001 2017-03-31
1881950889 Jalex, LLC General Practice 3372 Keith St Nw, Cleveland, TN 37312-3718 2012-04-04
1386886851 Bilal Mousa Ataya General Practice 30680 Bainbridge Rd, Cleveland, OH 44139-2282 2009-03-31
Find all providers in CLEVELAND

Competitor

Search similar providers

City CLEVELAND
Zip Code 44105

Improve Information

Please comment or provide details below to improve the information on ST JUDES MEDICAL CLINIC.

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.

Trending Searches