MARY ELIZABETH MODIC (NPI# 1871115444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871115444 |
| Entity Type | Individual |
| Full Name | MARY ELIZABETH MODIC |
| Practice Address |
Office of Advanced Practice - P-32 9500 Euclid Ave Cleveland OH 44195-0001 |
| Mailing Address |
4582 Windstream Ln Brecksville OH 44141-2931 |
| Practice Telephone | 2164449005 |
| Mailing Telephone | 4408388463 |
| Enumeration Date | 2020-05-17 |
| Last Update Date | 2020-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
147424 | OH | Nursing Service Providers |
| Street Address |
OFFICE OF ADVANCED PRACTICE - P-32 9500 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44195-0001 |
| 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 | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801040977 | Monica Daugherty | Registered Nurse | 19300 Mayfair Ln, Cleveland, OH 44128-2725 | 2008-11-15 |
| 1205084282 | Patricia Ann Robinson | Registered Nurse | 16805 Judson Dr, Cleveland, OH 44128-2234 | 2008-09-03 |
| 1598912206 | Robin Diane Stone | Registered Nurse | 12513 Brighton Ave, Cleveland, OH 44111-4535 | 2008-08-25 |
| 1861696668 | Tonjia N. Kyles | Registered Nurse | 13119 Southview Ave, Upstairs, Cleveland, OH 44120-4639 | 2007-06-14 |
| 1881775765 | Sandra Gail Parks | Registered Nurse | 1716 Wickford Rd, Cleveland, OH 44112-1208 | 2006-10-18 |
| 1538659982 | Maryjo Morris | Registered Nurse | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2018-05-11 |
| 1720588536 | Robin Blossom | Registered Nurse | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2018-02-19 |
| 1184010530 | Edwina Litherland | Registered Nurse | 10701 East Blvd, Cleveland, OH 44106-1702 | 2015-04-13 |
| 1720470909 | Tatyana Maricic | Registered Nurse | 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 | 2015-02-25 |
| 1982028544 | Dolores A Bernath | Registered Nurse | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2014-02-18 |
| 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.