MICROFUSE NEUROMONITORING, LLC (NPI# 1942656301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942656301 |
| Entity Type | Organization |
| Organization Name | MICROFUSE NEUROMONITORING, LLC |
| Practice Address |
11459 Mayfield Rd # 611 Cleveland OH 44106-2363 |
| Practice Telephone | 6146015045 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | BRENDA THIELE (MDMS NPI COMPLIANCE OFFICER) |
| Authorized Official Telephone | 2105982800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
11459 MAYFIELD RD # 611 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-2363 |
| 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 | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003089632 | Apisit Boongird | Psychiatry & Neurology | 12000 Fairhill Rd Apt 813, Cleveland, OH 44120-1050 | 2008-04-03 |
| 1871797217 | Mei Lu | Psychiatry & Neurology | 9500 Euclid Ave S-80, Cleveland Clinic, Cleveland, OH 44195 | 2007-06-11 |
| 1114442506 | Raluca Pana | Psychiatry & Neurology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2017-08-07 |
| 1083099378 | Sattawut Wongwiangjunt | Psychiatry & Neurology | Cleveland Clinic Foundation 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2015-07-28 |
| 1952701997 | Juan Carlos Bulacio | Psychiatry & Neurology | 9500 Euclid Ave # S51, Cleveland, OH 44195-0001 | 2014-08-27 |
| 1780873091 | Larry Dashefsky Md Inc | Psychiatry & Neurology | 6803 Mayfield Rd Ste 409, Cleveland, OH 44124-2214 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578949517 | Mujib Rahman Md Medical Clinic LLC | Psychiatry & Neurology | 2512 E Market St Unit B, Warren, OH 44483-6266 | 2015-07-31 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1568727170 | Surgicorp Medical, LLC | Psychiatry & Neurology | 767 Yorkshire Ct, Copley, OH 44321-1296 | 2012-07-10 |
| 1679830962 | Munazza Fatima Ahmed | Psychiatry & Neurology | 1524 Sunset Blvd Ste B, Steubenville, OH 43952-1380 | 2012-04-12 |
| 1073780037 | Sameena Khan Siddiqui | Psychiatry & Neurology | 2540 N Moreland Blvd, Shaker Heights, OH 44120-1375 | 2008-05-09 |
| 1760489421 | Mohamed Abdel Aziz | Psychiatry & Neurology | 5750 Gateway, Mason, OH 45040-1497 | 2005-07-07 |
| 1508231267 | Evokes, LLC | Psychiatry & Neurology | 8118 Corporate Way, Ste. 212, Mason, OH 45040-7350 | 2015-12-07 |
| 1437367570 | Jennifer A Drake | Psychiatry & Neurology | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2007-05-21 |
| 1659588788 | Georgios Vartzelis | Psychiatry & Neurology | 3333 Burnet Ave, Ml 2015, Cincinnati, OH 45229-3039 | 2007-05-17 |
| 1437243664 | Neurology Associates, Inc. | Psychiatry & Neurology | 2960 Mack Rd, Suite 201, Fairfield, OH 45014-5373 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
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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.