NEW LIFE MEDICAL CENTER (NPI# 1821588591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821588591 |
| Entity Type | Organization |
| Organization Name | NEW LIFE MEDICAL CENTER |
| Practice Address |
21500 Lorain Rd Fairview Park OH 44126 |
| Mailing Address |
21500 Lorain Rd Fairview Park OH 44126-3302 |
| Practice Telephone | 2162821686 |
| Mailing Telephone | 2162821686 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-06-04 |
| Authorized Official Name | DR. RAFIF MOUSA (OWNER) |
| Authorized Official Telephone | 2165778860 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 35.133846 | OH | Ambulatory Health Care Facilities |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
35.133846 | OH | Ambulatory Health Care Facilities |
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
35.133846 | OH | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073848354 | New Life Medical Center | Family Medicine | 50057 Hwy 51 North, Tickfaw, LA 70466 | 2009-10-05 |
| 1386002327 | New Life Medical Center | Electrodiagnostic Medicine | 5018 E 68th St, Tulsa, OK 74136 | 2016-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | New Life Medical Centers LLC | 5018 E 68th Street, Suite 200, Tulsa, Oklahoma 74136 |
| Street Address |
21500 LORAIN RD |
| City | FAIRVIEW PARK |
| State | OH |
| Zip Code | 44126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023425899 | Rafif Mousa | Obstetrics & Gynecology | 21500 Lorain Rd, Fairview Park, OH 44126 | 2014-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031506 | Robert Hutman Leathers | Home Health Aide | 22371 Lorain Road, Fairview Park, OH 44126 | 2020-07-30 |
| 1750916425 | Rachel Martin | Psychologist | 20800 Westgate Professional Center #200, Fairview Park, OH 44126 | 2020-03-03 |
| 1649810821 | John P Meehan | Counselor | 21139 Lorain Rd 12, Fairview, OH 44126 | 2020-01-15 |
| 1356856306 | Cynthia Takaht | Counselor | 20800 Westgate #200, Fairview Park, OH 44126 | 2017-12-12 |
| 1205383759 | Ashraf M.a Abushahin | Student in an Organized Health Care Education/Training Program | 20120 Lorain Raod, Apartment 602, Fairview Park, OH 44126 | 2016-09-01 |
| 1760853311 | Laveena A Meriga | Nurse Practitioner | 21358 Ellen Dr, Fairview Park, OH 44126 | 2015-10-08 |
| 1366878514 | Michael J Rudolph | Counselor | 20800 Westgate Prof Center, Suite 200, Fairview, OH 44126 | 2013-09-19 |
| 1336497924 | Dental 32 LLC | Dentist | 22640 Lorain Road, Fairview Park, OH 44126 | 2012-08-29 |
| 1871755660 | Varun Dixit | General Acute Care Hospital | 20120 Lorain Road, Apt 412, Fairview Park, OH 44126 | 2008-07-02 |
| 1720278989 | Kemal Y Gursal | Internal Medicine | 4485 Valley Forge Dr, Fairview Park, OH 44126 | 2007-07-25 |
| Find all providers in zip 44126 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW PARK |
| Zip Code | 44126 |
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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.