JACK T ANDRISH (NPI# 1689617557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689617557 |
| Entity Type | Individual |
| Full Name | JACK T ANDRISH |
| Credential | MD |
| Practice Address |
9500 Euclid Ave Cleveland OH 44195-0001 |
| Mailing Address |
6000 W Creek Rd Suite 10 Independence OH 44131-2139 |
| Practice Telephone | 8002232273 |
| Mailing Telephone | 8002232273 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 35040578 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0381233 | 05 |
| Street Address |
9500 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44195-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223231 | Terence Lee Gutgsell | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2005-05-23 |
| 1376144469 | Michael Trompak | Registered Nurse | 9500 Euclid Ave, Cleveland, OH 44195-0002 | 2020-11-04 |
| 1932700465 | Larisa Sopka | Registered Nurse | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-11-02 |
| 1760082697 | Sherry Jones | Registered Nurse | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-29 |
| 1518566157 | Warren Kothrade | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-24 |
| 1962000364 | Ethan A Weist | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0002 | 2020-10-16 |
| 1811595861 | Jennifer White | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-13 |
| 1306443668 | Maria Redden | Physical Therapist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-08 |
| 1679170351 | Joelle Marie Williams | Social Worker | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-06 |
| 1649877259 | Benita Bryant | Social Worker | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041107 | Rachael Kaplan | Nurse Practitioner | Cleveland Clinic Anesthesia Institute, 9500 Euclid Ave, Cleveland, OH 44195 | 2020-07-27 |
| 1831707967 | Sarah Mcgee | Genetic Counselor, MS | 9500 Euclid Ave R4, Cleveland, OH 44195 | 2020-07-15 |
| 1578192134 | Cassandra Garraud | Student in an Organized Health Care Education/Training Program | 9500 Euclid Avenue Na-23, Cleveland, OH 44195 | 2020-04-06 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1326527961 | Varinder Kaur Randhawa | Internal Medicine | Cleveland Clinic - Main Campus, 9500 Euclid Avenue, Cleveland, OH 44195 | 2018-08-13 |
| 1487148029 | Larissa Caitlin Combs | Anesthesiology | 9500 Euclid Avenue/na-23, Cleveland, OH 44195 | 2018-06-18 |
| 1306335237 | Sarah Elizabeth Mazzola | Genetic Counselor, MS | 9500 Euclid Ave Ne 50, Genomic Medicine Institute, Cleveland, OH 44195 | 2018-05-07 |
| 1841788593 | Yirka Vacca | Orthopaedic Surgery | Cleveland Clinic 9500 Euclid Avenue A-40, Cleveland, OH 44195 | 2018-04-27 |
| 1174010144 | Natalie W. Weigand | Nurse Practitioner | 9500 Euclid Avenue A81, Cleveland, OH 44195 | 2018-04-16 |
| 1164924114 | Baha'eddin Ahmad Ibrahim Muhsen | Neurological Surgery | 10201 Carnegie Ave, Ca Building, Cleveland, OH 44195 | 2018-03-06 |
| Find all providers in zip 44195 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841788593 | Yirka Vacca | Orthopaedic Surgery | Cleveland Clinic 9500 Euclid Avenue A-40, Cleveland, OH 44195 | 2018-04-27 |
| 1760914451 | Morad Chughtai | Orthopaedic Surgery | 10001 Chester Ave, Apt 520, Cleveland, OH 44106-1617 | 2017-03-31 |
| 1871911479 | Jacob G Calcei | Orthopaedic Surgery | 11100 Euclid Ave Fl 6, Cleveland, OH 44106-1716 | 2014-04-01 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1154597185 | Dennis Bruce Brooks | Orthopaedic Surgery | 10601 East Blvd, Cleveland, OH 44106 | 2008-04-30 |
| 1528231834 | Nathan Wesley Mesko | Orthopaedic Surgery | 9500 Euclid Ave. Crile Building, A-41, Department of Orthopaedic Surgery, Cleveland, OH 44195 | 2008-04-08 |
| 1538364088 | Hse Orthopaedic Surgery Clinic | Orthopaedic Surgery | 203 N College Ave, Suite 3001, Cleveland, TX 77327-4000 | 2007-06-15 |
| 1639205214 | Michael P Glotzbecker | Orthopaedic Surgery | Rainbow Babies and Childrens Hospital, 1100 Euclid Ave, Cleveland, OH 44106 | 2007-02-26 |
| 1063500981 | Sheldon Kaffen | Orthopaedic Surgery | 4200 Warrensville Ctr Rd, #451 Bldg A, Cleveland, OH 44122 | 2006-10-10 |
| 1487670634 | Mark Loren Denzine | Orthopaedic Surgery | 9500 Euclid Ave # A41, Cleveland, OH 44195 | 2006-07-14 |
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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.