Holly J Pederson (NPI# 1104046804, PAC ID# 9830295989) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104046804 |
| PAC ID by PECOS | 9830295989 |
| Professional Enrollment ID | I20070507000121 |
| Full Name | Holly J Pederson |
| Organization Legal Name | THE CLEVELAND CLINIC FOUNDATION |
| Address |
18200 Lorain Ave Cleveland OH 44111-5605 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 1850203555 |
| Number of Group Practice Members | 4291 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360180 | CLEVELAND CLINIC |
| 360077 | FAIRVIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10685 Carnegie Ave, Suite X20, Cleveland, OH 44195-0001 | 2164443475 | THE CLEVELAND CLINIC FOUNDATION |
| 18200 Lorain Ave, Cleveland, OH 44111-5605 | THE CLEVELAND CLINIC FOUNDATION | |
| 9500 Euclid Ave, Cleveland, OH 44195-0001 | THE CLEVELAND CLINIC FOUNDATION |
| Organization Legal Name | THE CLEVELAND CLINIC FOUNDATION |
| Physicians | 4754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlyn Nicole Gasser | Physician Assistant | The Cleveland Clinic Foundation | 2550 Som Ctr Rd, Willoughby Hills, OH 44094-9655 |
| Francois Abi Fadel | Pulmonary Disease | The Cleveland Clinic Foundation | 9500 Euclid Ave, Cleveland, OH 44195-0001 |
| Rachael C Sullivan | General Surgery | The Cleveland Clinic Foundation | 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 |
| Jessica Gumucio | Nurse Practitioner | The Cleveland Clinic Foundation | 33355 Health Campus Blvd, Avon, OH 44011-1399 |
| Vikas D Patel | Sports Medicine | The Cleveland Clinic Foundation | 5800 Cooper Foster Park W Rd, Lorain, OH 44053-4131 |
| Weston Tuten | Optometry | The Cleveland Clinic Foundation | 16215 Madison Ave, Lakewood, OH 44107-5618 |
| Yap-yee Chong | Pathology | The Cleveland Clinic Foundation | 18101 Lorain Ave, Cleveland, OH 44111-5612 |
| Megan Yvonne Boogaart | Nurse Practitioner | The Cleveland Clinic Foundation | 2999 Mcmackin Rd, Madison, OH 44057-2330 |
| Mathilde H Pioro | Rheumatology | The Cleveland Clinic Foundation | 29800 Bainbridge Rd, Solon, OH 44139-2202 |
| Arthi Ganesh Venkat | Ophthalmology | The Cleveland Clinic Foundation | 5700 Cooper Foster Park W Rd, Lorain, OH 44053-4152 |
| Street Address |
18200 LORAIN AVE |
| City | CLEVELAND |
| State | OH |
| Zip | 44111-5605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haider Mahdi | Gynecological Oncology | The Cleveland Clinic Foundation | 18200 Lorain Ave, Cleveland, OH 44111-5605 |
| Bridget L Griffin | Nurse Practitioner | The Cleveland Clinic Foundation | 18200 Lorain Ave, Cleveland, OH 44111-5605 |
| Anthony Mastroianni | Radiation Oncology | The Cleveland Clinic Foundation | 18200 Lorain Ave, Cleveland, OH 44111-5605 |
| Erika R Klempay | Physician Assistant | The Cleveland Clinic Foundation | 18200 Lorain Ave, Cleveland, OH 44111-5605 |
| Lauren N Taylor | Nurse Practitioner | The Cleveland Clinic Foundation | 18200 Lorain Ave, Cleveland, OH 44111-5605 |
| Mary Louise Longdon | Physician Assistant | The Cleveland Clinic Foundation | 18200 Lorain Ave, Cleveland, OH 44111-5605 |
| Peter Graham Rose | Gynecological Oncology | The Cleveland Clinic Foundation | 18200 Lorain Ave, Cleveland, OH 44111-5605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen P Smik | Podiatry | 3386 Warren Rd, Cleveland, OH 44111-2031 | |
| Paul T Cachat | Podiatry | Corrigan Podiatry Group | 3386 Warren Rd, Cleveland, OH 44111-2031 |
| Christopher Terence Checkett | Clinical Social Worker | 3430 Rocky River Dr, Cleveland, OH 44111-2954 | |
| David J Udelf | Psychologist, Clinical | 3430 Rocky River Dr, Suite 3, Cleveland, OH 44111-2955 | |
| Stanley Beekman | Podiatry | Gentle Foot Care Inc | 13333 Lorain Ave, Cleveland, OH 44111-3400 |
| Kenneth H Stern | Chiropractic | 13550 Lorain Ave, Cleveland, OH 44111-3434 | |
| Donald A Kammer Jr. | Optometry | 3760 Rocky River Dr, Cleveland, OH 44111-4050 | |
| Eddie E Myers | Psychologist, Clinical | 3865 Rocky River Dr, Suite 2, Cleveland, OH 44111-4114 | |
| Asaf Ali Dar | Internal Medicine | 3878 Rocky River Dr, Suite 2, Cleveland, OH 44111-4135 | |
| John Lloyd Aron | Podiatry | 3878 Rocky River Dr, Suite 3, Cleveland, OH 44111-4135 | |
| Find all physicians in zip 44111 | |||
| City | CLEVELAND |
| Zip Code | 44111 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CLEVELAND + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.