CLEVELAND MEDICAL CENTER PA (NPI# 1669509857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669509857 |
| Entity Type | Organization |
| Organization Name | CLEVELAND MEDICAL CENTER PA |
| Practice Address |
11711 Statesville Blvd Cleveland NC 27013-9418 |
| Practice Telephone | 7042784100 |
| Practice Fax Number | 7042782951 |
| Mailing Telephone | 7042784100 |
| Mailing Fax Number | 7042782951 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-02-25 |
| Authorized Official Name | JOHN F BARR (SOLE OWNER) |
| Authorized Official Telephone | 7042784100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 26186 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS OF NC | 1669509857 | 01 |
| Street Address |
11711 STATESVILLE BLVD |
| City | CLEVELAND |
| State | NC |
| Zip Code | 27013-9418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356302111 | Surahi Patel | Physician Assistant | 11711 Statesville Blvd, Cleveland, NC 27013-9418 | 2006-03-31 |
| 1518070663 | Christopher Micheal Laflure | Physician Assistant | 11711 Statesville Blvd, Cleveland, NC 27013-9418 | 2006-08-15 |
| 1396766721 | William N Carlson | Physician Assistant | 11711 Statesville Blvd, Cleveland, NC 27013-9418 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013138 | Shirley C Hampton | In Home Supportive Care | 210 Clement St, Cleveland, NC 27013 | 2020-04-28 |
| 1285261628 | Unique Home Care Services Inc. | In Home Supportive Care | 210 Clement Street, Cleveland, NC 27013 | 2020-03-25 |
| 1538218979 | John F Barr | Family Medicine | 11711 Stateville Blvd, Cleveland, NC 27013 | 2007-01-08 |
| 1629154695 | Ruth Louise Rosenbaum | Counselor | 1316 Ashley Sq., Center of Well-being, Winston-salem, NC 27013 | 2006-10-31 |
| 1326138751 | Kenneth James Rasbornik | Dentist | 11707 Statesville Blvd, Cleveland, NC 27013 | 2006-10-14 |
| 1942752977 | Emily Wagner | Speech-Language Pathologist | 185 Charlois Boulevard, Winston-salem, NC 27013 | 2016-10-25 |
| 1336251289 | Helen Louisa Snyder | Nurse Practitioner | 6349 Highway 550, Cuba Health Center Presbyterian Medical Services, Cuba, NM 27013 | 2006-08-31 |
| 1285753939 | Carolina Speech Therapy Inc | Occupational Therapist | 410 Bridle Path Farm Rd, Cleveland, NC 27013-8157 | 2007-03-27 |
| 1487102943 | Brittany Stefan | Speech-Language Pathologist | 410 Bridle Path Farm Rd, Cleveland, NC 27013-8157 | 2016-09-13 |
| 1881061927 | Maryelizabeth Mcewen | Speech-Language Pathologist | 410 Bridle Path Farm Rd, Cleveland, NC 27013-8157 | 2015-08-25 |
| Find all providers in zip 27013 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417577537 | Eduardo Trevino | Family Medicine | 3009 Midfield Cir Se, Cleveland, TN 37323-0554 | 2020-04-18 |
| 1518429240 | Care Alliance | Family Medicine | 4050 Superior Ave Fl 3, Cleveland, OH 44103-1128 | 2019-04-02 |
| 1659808236 | Tara K Iyer | Family Medicine | Women's Health Institute 9500 Euclid Ave A81, Cleveland, OH 44195-0001 | 2017-05-15 |
| 1972958072 | Matthew Novin | Family Medicine | 15105 St Clair Ave, Cleveland, OH 44110-1111 | 2016-04-27 |
| 1235519166 | Michelle Caster | Family Medicine | 11100 Euclid Ave # B200, Cleveland, OH 44106 | 2015-06-05 |
| 1437545720 | Keisha Danielle Sullivan | Family Medicine | 11100 Euclid Ave Fl Bolwell6, Cleveland, OH 44106 | 2015-04-13 |
| 1356747679 | Rmi Holding Corporation, Inc | Family Medicine | 3854 Candies Creek Ln Nw, Cleveland, TN 37312-1863 | 2014-11-13 |
| 1326450123 | Anna Camille Moreno | Family Medicine | 9500 Euclid Ave # A1-854, Cleveland, OH 44195-1101 | 2014-05-28 |
| 1568874816 | Garrett L Kirkpatrick | Family Medicine | The Cleveland Clinic Foundation 9500 Euclid Ave, Cleveland, OH 44195-4420 | 2014-05-21 |
| 1104250448 | Aaron Doss Samuel | Family Medicine | 3178 Chestnut Cir Nw, Cleveland, TN 37312-2137 | 2013-08-22 |
| Find all providers in CLEVELAND | ||||
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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.