BEVERLY A WISDOM (NPI# 1942208939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942208939 |
Entity Type | Individual |
Full Name | BEVERLY A WISDOM |
Credential | PA |
Practice Address |
10701 East Blvd Suite 1b 236 Cleveland OH 44106-1702 |
Mailing Address |
10701 Wade Park Suite 1-b 236 Cleveland OH 44106-1702 |
Practice Telephone | 4192153171 |
Practice Fax Number | 2162313411 |
Mailing Telephone | 4192153171 |
Mailing Fax Number | 2162313411 |
Enumeration Date | 2005-07-13 |
Last Update Date | 2020-06-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50001450 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10701 EAST BLVD SUITE 1B 236 |
City | CLEVELAND |
State | OH |
Zip Code | 44106-1702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013517366 | Michael Nielsen | Recreational Therapist Assistant | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-10-27 |
1063010692 | Hailey L Thomas | Dietitian, Registered | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-10-15 |
1588262406 | Kinxian Thach | Registered Nurse | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-10-13 |
1942817572 | Robin Eminger | Nurse Practitioner | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-09-28 |
1396352076 | Brittany B Boykin | Respiratory Therapist, Registered | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-09-28 |
1669086955 | Colleen A Gepperth | Nurse Practitioner | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-09-03 |
1588277966 | Tarah Midy | Psychologist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-08-26 |
1710590062 | Colleen Licursi | Social Worker | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-08-26 |
1952913873 | Shivali Dyal Singh | Pharmacist | 10701 East Blvd, Cleveland, OH 44106 | 2020-08-21 |
1225640360 | Kelsi Bobbitt | Counselor | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-08-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
Find all providers in zip 44106 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679122394 | Mariah Bower | Physician Assistant | 2725 Hampshire Rd Apt 3, Cleveland, OH 44106-2570 | 2019-09-05 |
1205319753 | Jennifer Lee Seegichetla | Physician Assistant | 11100 Euclid Ave # Seidman7, Cleveland, OH 44106-1716 | 2018-09-11 |
1396291019 | Kaitlin Elizabeth Ruszkowski | Physician Assistant | 2049 E 100th St Cleveland Clinic, Cleveland, OH 44195 | 2016-09-01 |
1528411493 | Kayla Losco | Physician Assistant | 18101 Lorain Avenue-cleveland Clinic-fairview Hospital, Emergency Services, Cleveland, OH 44111-5612 | 2016-07-15 |
1356705719 | Alison Rae Dushac | Physician Assistant | Cleveland Clinic Emergency Department, 9105 Cedar Avenue, Cleveland, OH 44195-0001 | 2016-04-11 |
1518330687 | Erica Paul | Physician Assistant | 9105 Cedar Ave, E Building, Cleveland, OH 44195-0001 | 2015-11-11 |
1588961189 | Jennifer Lynn Tresler | Physician Assistant | 1700 E 13th St Apt 14h, Cleveland, OH 44114-3219 | 2011-02-16 |
1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
1295911279 | Dennis Albert Frinzl | Physician Assistant | 4450 Saint Clair Ave, Cleveland, OH 44103-1126 | 2008-01-21 |
1023207891 | Amy M. Drab | Physician Assistant | 9500 Euclid Ave # Q2-1, Cleveland, OH 44195-8485 | 2007-10-17 |
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.