| Highland Springs Physician Group, Llc | |
|
4199 Millpond Dr Highland Hills OH 44122-5731 | |
| (216) 242-4760 | |
| Not Available |
| Full Name | Highland Springs Physician Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4199 Millpond Dr, Highland Hills, Ohio |
| Authorized Official Name and Position | Gina Warren (DIRECTOR CREDENTIALING & PAYOR EN.) |
| Authorized Official Contact | 5023813338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Springs Physician Group, Llc 4801 Olympia Park Plz Ste 1000 Louisville KY 40241-2090 Ph: (412) 588-3546 | Highland Springs Physician Group, Llc 4199 Millpond Dr Highland Hills OH 44122-5731 Ph: (216) 242-4760 |
| NPI Number | 1316682800 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 4183004781 |
|---|---|
| Medicare Enrollment ID | O20220628003767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316682800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Emad Alshami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336168848 PECOS PAC ID: 0547230872 Enrollment ID: I20040727001591 |
| Provider Name | John L Hertzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104885235 PECOS PAC ID: 8022012673 Enrollment ID: I20060913000100 |
| Provider Name | Michael A Bell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235180779 PECOS PAC ID: 6709855232 Enrollment ID: I20110225000325 |
| Provider Name | Archana D Brojmohun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225212194 PECOS PAC ID: 6507022381 Enrollment ID: I20120723000870 |
| Provider Name | Amy Stralka-larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548696313 PECOS PAC ID: 8123253556 Enrollment ID: I20131021000730 |
| Provider Name | Raygan Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588050793 PECOS PAC ID: 3779890801 Enrollment ID: I20150922001041 |
| Provider Name | Brankica M Podravac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225414410 PECOS PAC ID: 7517261217 Enrollment ID: I20160201000362 |
| Provider Name | Catherine L Buswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184657165 PECOS PAC ID: 9739193400 Enrollment ID: I20170515001118 |
| Provider Name | Saissy E Kendig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811418619 PECOS PAC ID: 8123393246 Enrollment ID: I20170928004166 |
| Provider Name | Kenneth Richmond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184891277 PECOS PAC ID: 6608015342 Enrollment ID: I20180613002059 |
| Provider Name | Kimberly Ann Szabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750870333 PECOS PAC ID: 7113270810 Enrollment ID: I20181026000277 |
| Provider Name | Alana Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538653290 PECOS PAC ID: 2567716400 Enrollment ID: I20181113002149 |
| Provider Name | Abdelrahman Abdelaziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871960930 PECOS PAC ID: 9931453032 Enrollment ID: I20190531002068 |
| Provider Name | Sheneka Mcgee-fears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932725363 PECOS PAC ID: 5092133926 Enrollment ID: I20200909002598 |
| Provider Name | Kevin Atwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528674603 PECOS PAC ID: 5294154464 Enrollment ID: I20201007003396 |
| Provider Name | Jehan Helmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497986285 PECOS PAC ID: 7719210517 Enrollment ID: I20210112001565 |
| Provider Name | Alia Moinuddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871785329 PECOS PAC ID: 5799868923 Enrollment ID: I20210129001809 |
| Provider Name | Lynnette Enterline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679086227 PECOS PAC ID: 6204230741 Enrollment ID: I20210805003144 |
| Provider Name | Shakele Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316614936 PECOS PAC ID: 9830588227 Enrollment ID: I20211104002282 |
| Provider Name | Austin Brooks Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619574639 PECOS PAC ID: 7719369727 Enrollment ID: I20220806000329 |
| Provider Name | David Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417614181 PECOS PAC ID: 0143696641 Enrollment ID: I20221025002842 |
| Provider Name | Brandy S Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437816576 PECOS PAC ID: 3375914807 Enrollment ID: I20230120001139 |
| Provider Name | Jennifer Rose Seelie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124735683 PECOS PAC ID: 7810362605 Enrollment ID: I20230410000653 |
Cleveland Department Of Public Health, Office Of Mental Health And Sub Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4041 Northfield Rd, Cleveland House Of Correction Treatment Program, Highland Hills, OH 44122 Phone: 216-765-6960 | |
Achievement Centers For Children Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4255 Northfield Rd, Highland Hills, OH 44128 Phone: 216-292-9700 Fax: 216-378-4613 | |
Achievement Centers For Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4255 Northfield Rd, Highland Hills, OH 44128 Phone: 216-292-9700 Fax: 216-378-4613 |