DR. DOMINIQUE PRUDHOMME (NPI# 1700842705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700842705 |
| Entity Type | Individual |
| Full Name | DR. DOMINIQUE PRUDHOMME |
| Credential | MD |
| Practice Address |
Cleveland Clinic Cardiothoracic Anesthesia G30 Cleveland OH 44195 |
| Mailing Address |
549 Riverview Rd Gates Mills OH 44040 |
| Practice Telephone | 2164444359 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35.075611 | OH | Other Service Providers |
| Street Address |
CLEVELAND CLINIC CARDIOTHORACIC ANESTHESIA G30 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842541 | Harmenjit Brar | Urology | Cleveland Clinic, 9500 Euclid Avenue/na-23, Cleveland, OH 44195 | 2020-08-18 |
| 1518596998 | Ryan Charles Ellis | Student in an Organized Health Care Education/Training Program | Cleveland Clinic, 9500 Euclid Avenue/na-23, Cleveland, OH 44195 | 2020-04-07 |
| 1033748520 | Guan Ting Liu | Student in an Organized Health Care Education/Training Program | Cleveland Clinic, 9500 Euclid Avenue/na-23, Cleveland, OH 44195 | 2020-04-06 |
| 1215566955 | Abel A Joseph | Student in an Organized Health Care Education/Training Program | Cleveland Clinic, 9500 Euclid Avenue Na-23, Cleveland, OH 44195 | 2020-04-04 |
| 1033748934 | Saeid Mirzai | Student in an Organized Health Care Education/Training Program | Cleveland Clinic, 9500 Euclid Avenue/na-23, Cleveland, OH 44195 | 2020-04-03 |
| 1649826819 | Shu Chen | Student in an Organized Health Care Education/Training Program | Cleveland Clinic, 9500 Euclid Avenue/na23, Cleveland, OH 44195 | 2019-08-14 |
| 1194387860 | Raja Kumaran Rajamanickam | Surgery | Cleveland Clinic, 9500 Euclid Avenue/ Na-23, Cleveland, OH 44195 | 2019-07-02 |
| 1700445749 | Jennifer Tran | Internal Medicine | Cleveland Clinic, 9500 Euclid Avenue/na- 23, Cleveland, OH 44195 | 2019-06-12 |
| 1376109215 | Rizaldy Garcia | Podiatrist | Cleveland Clinic, 9500 Euclid Avenue/na23, Cleveland, OH 44195 | 2019-05-16 |
| 1659936391 | Daniel Robert Owen | Pathology | Cleveland Clinic, 9500 Euclid Ave/na-23, Cleveland, OH 44195 | 2019-05-08 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265896872 | Lindsay Brewster | Specialist | 163 County Road 2298, Cleveland, TX 77327-0118 | 2016-04-09 |
| 1972974855 | Ronald Sherman Coleman | Specialist | 343 Leatha Ln Nw, Cleveland, TN 37312-6444 | 2015-10-17 |
| 1457740961 | Carol Reaves | Specialist | 1113 East 141, St., Cleveland, OH 44110-3685 | 2015-01-21 |
| 1891118378 | Todd Karp | Specialist | 21855 Eaton Rd, Cleveland, OH 44126-2311 | 2014-02-04 |
| 1619226180 | Thomas M Lott Sr. | Specialist | 2486 Adair Mill Rd, Cleveland, GA 30528-3322 | 2012-08-30 |
| 1760712517 | Patrick Alton Gladding | Specialist | 2409 Lee Rd, Cleveland Heights, Cleveland, OH 44118-4124 | 2009-12-29 |
| 1477795227 | Linda Dorsey | Specialist | 2538 Keith St Nw Ste 8, Cleveland, TN 37312-3738 | 2009-03-25 |
| 1598906117 | John Robert Fowler Jr. | Specialist | Emergency Services Institute E 19, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2009-03-11 |
| 1275772931 | Raed Nabil Bou Matar | Specialist | 2801 Mlk Jr Dr, Cleveland, OH 44104-3815 | 2009-02-19 |
| 1447405444 | Ivy Trinell Chambers | Specialist | 3737 E 154th St, Cleveland, OH 44120-4917 | 2008-11-18 |
| 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.