DAVE OTCOVSKY (NPI# 1891249934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891249934 |
| Entity Type | Individual |
| Full Name | DAVE OTCOVSKY |
| Credential | R.PH |
| Practice Address |
2351 E 22nd St Cleveland OH 44115-3111 |
| Mailing Address |
14500 Cross Creek Ln North Royalton OH 44133-4811 |
| Practice Telephone | 2166944629 |
| Mailing Telephone | 4402305511 |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03-1-20640 | OH | Pharmacy Service Providers |
| Street Address |
2351 E 22ND ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528051661 | Cynthia L Brown | Internal Medicine | 2351 E 22nd St, St Vincent Charity Hospital Attn: Gma Consultants, Cleveland, OH 44115-3111 | 2005-08-24 |
| 1679186894 | Francisco J Somoza-cano | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-27 |
| 1992317879 | Patil Sarkis Balozian | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-20 |
| 1205448800 | Faris Hammad | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-17 |
| 1043820525 | Mohamad H E Alsaed | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-09 |
| 1245849892 | Mohammad Haidous | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-29 |
| 1982212593 | David Perse Md, LLC | Surgery | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-20 |
| 1659989275 | Jeremy Perse, Dpm, LLC | Podiatrist | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-20 |
| 1356969281 | Krista Michelle Wong | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-07 |
| 1538785233 | Sanjul Prakash Patel | Student in an Organized Health Care Education/Training Program | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972305 | Rosemary Jean Snow | Pharmacist | 5841 W 130th St, Cleveland, OH 44130-9308 | 2020-11-07 |
| 1811513377 | Anthony Wasielewski | Pharmacist | 1415 W 112th St Apt 23, Cleveland, OH 44102-2371 | 2020-06-21 |
| 1306495320 | Letha Rebecca Gilbert | Pharmacist | 240 Starlet Cir Ne, Cleveland, TN 37323-6416 | 2019-09-11 |
| 1295388205 | Mai Nguyen | Pharmacist | 10701 East Blvd # 119, Cleveland, OH 44106-1702 | 2019-07-18 |
| 1457847485 | Tammy Griffin | Pharmacist | 84 Cleveland Highway, Cleveland, GA 30528-7804 | 2018-07-02 |
| 1699282533 | Jignasa Bhavin Patel | Pharmacist | 5727 Avenwood Cir Nw, Cleveland, TN 37312-8235 | 2018-01-01 |
| 1497270425 | Peter A Wirkowski | Pharmacist | 1730 W 25th St Dept Of, Cleveland, OH 44113-3108 | 2017-08-10 |
| 1376079699 | Anna Vanbenschoten | Pharmacist | 300 25th St Ne, Apt 6034, Cleveland, TN 37311-3991 | 2017-05-05 |
| 1699215772 | Patricia Anne Caffrey | Pharmacist | 9885 Rockside Rd, Suite 157, Cleveland, OH 44125-6273 | 2017-03-08 |
| 1437517737 | Souhail Francis | Pharmacist | 13412 Sprecher Ave, Cleveland, OH 44135-5050 | 2016-02-02 |
| 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.