| |
10688 Lorain Ave Cleveland OH 44111-5411 | |
(216) 682-7703 | |
(216) 236-7768 |
Full Name | |
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Speciality | Clinic/Center |
Location | 10688 Lorain Ave, Cleveland, Ohio |
Authorized Official Name and Position | Griffin Myers (CMO) |
Authorized Official Contact | 3072642085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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30 W Monroe St Ste 1200 Chicago IL 60603-2420 Ph: (312) 733-9730 | 10688 Lorain Ave Cleveland OH 44111-5411 Ph: (216) 682-7703 |
NPI Number | 1346747946 |
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Provider Enumeration Date | 04/10/2018 |
Last Update Date | 06/29/2023 |
Certification Date | 06/29/2023 |
Medicare PECOS PAC ID | 1759639693 |
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Medicare Enrollment ID | O20180808003187 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346747946 | NPI | - | NPPES |
4110564 | Other | OH | LLC LICENSE NUMBER |
Provider Name | Vanessa R Heckman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104830215 PECOS PAC ID: 6305745514 Enrollment ID: I20040107000509 |
Provider Name | Salman Ahmad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902834492 PECOS PAC ID: 1557346871 Enrollment ID: I20040621001996 |
Provider Name | Colleen A Doherty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265652937 PECOS PAC ID: 0941241301 Enrollment ID: I20050518000236 |
Provider Name | Lori Jean Grenich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871586040 PECOS PAC ID: 9537168034 Enrollment ID: I20061211000504 |
Provider Name | Kelly L Fababe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669493672 PECOS PAC ID: 3072512268 Enrollment ID: I20061218000140 |
Provider Name | Barbara J Messinger Rapport |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1821052895 PECOS PAC ID: 6204835366 Enrollment ID: I20061219000139 |
Provider Name | Suzanne White |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093951006 PECOS PAC ID: 7719042746 Enrollment ID: I20090207000022 |
Provider Name | Lee A Klopfenstein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184729220 PECOS PAC ID: 5092856054 Enrollment ID: I20100113000144 |
Provider Name | H Todd Kepler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053368910 PECOS PAC ID: 1355483785 Enrollment ID: I20100125000086 |
Provider Name | Maria Mars |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790843217 PECOS PAC ID: 1658495957 Enrollment ID: I20100907000301 |
Provider Name | Taryn Lee |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881784064 PECOS PAC ID: 7012807092 Enrollment ID: I20110912000728 |
Provider Name | Homeyra Salamat |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912282765 PECOS PAC ID: 4981879970 Enrollment ID: I20111201000666 |
Provider Name | Kappi R Hickman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073877676 PECOS PAC ID: 0446406185 Enrollment ID: I20120810000633 |
Provider Name | Olusegun A Odukoya |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235387416 PECOS PAC ID: 4183763865 Enrollment ID: I20121117000114 |
Provider Name | Joseph Michael Geskey |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497705941 PECOS PAC ID: 8022050103 Enrollment ID: I20130501000560 |
Provider Name | Jeremy Perse |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1811243397 PECOS PAC ID: 8527207711 Enrollment ID: I20130619000420 |
Provider Name | Latonya L Dunson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073952578 PECOS PAC ID: 1951542760 Enrollment ID: I20130720000051 |
Provider Name | Gina Kicos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073952685 PECOS PAC ID: 2961644711 Enrollment ID: I20130807001015 |
Provider Name | Deborah J Johnson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326250986 PECOS PAC ID: 6204078355 Enrollment ID: I20130820000420 |
Provider Name | Kelli Suzanne Buckner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417269622 PECOS PAC ID: 0648413351 Enrollment ID: I20130828000598 |
Provider Name | Katy A Lalone |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780834416 PECOS PAC ID: 6901058783 Enrollment ID: I20130903000824 |
Provider Name | Angela K Wunsch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538568704 PECOS PAC ID: 1153542907 Enrollment ID: I20141021001528 |
Provider Name | Kelly D Loring |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629466792 PECOS PAC ID: 5193041275 Enrollment ID: I20150309000614 |
Provider Name | Ruth Chaza-ndlovu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326241852 PECOS PAC ID: 1052615911 Enrollment ID: I20160212001877 |
Provider Name | Mable Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538547666 PECOS PAC ID: 6204127459 Enrollment ID: I20160620001761 |
Provider Name | Patrick Frost |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659741577 PECOS PAC ID: 0749585073 Enrollment ID: I20160823001189 |
Provider Name | Mollie Mason |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629447586 PECOS PAC ID: 3476832965 Enrollment ID: I20161128002732 |
Provider Name | Jan Gordon Cornell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306908132 PECOS PAC ID: 7618957150 Enrollment ID: I20170117000660 |
Provider Name | Jonnetta Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063964237 PECOS PAC ID: 8921381294 Enrollment ID: I20170210001432 |
Provider Name | Emanuel Singleton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326357849 PECOS PAC ID: 6103101589 Enrollment ID: I20170327002215 |
Provider Name | Angela A Adams-harrison |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093071144 PECOS PAC ID: 7618254020 Enrollment ID: I20170511000965 |
Provider Name | Saida D Fields |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043669658 PECOS PAC ID: 6800166711 Enrollment ID: I20170726002056 |
Provider Name | Liang Lee Chao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306334669 PECOS PAC ID: 7911252903 Enrollment ID: I20180705001590 |
Provider Name | Shakeilah C Burns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003305855 PECOS PAC ID: 6709133481 Enrollment ID: I20180726001710 |
Provider Name | Vera Arnold |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205384062 PECOS PAC ID: 3971851957 Enrollment ID: I20180808000389 |
Provider Name | Jaclyn M Debruyne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982183554 PECOS PAC ID: 9335490820 Enrollment ID: I20180921002522 |
Provider Name | Connie Therese Spahn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831678697 PECOS PAC ID: 4981956703 Enrollment ID: I20181005001800 |
Provider Name | Ebony Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528502283 PECOS PAC ID: 3274800263 Enrollment ID: I20181019002779 |
Provider Name | Vanessa Stagliano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477931319 PECOS PAC ID: 0446561583 Enrollment ID: I20181105000960 |
Provider Name | Olaoluwa Oladipo Fayanju |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114284411 PECOS PAC ID: 6507170974 Enrollment ID: I20181107000533 |
Provider Name | Ramon Pla Varona |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184715641 PECOS PAC ID: 1052306677 Enrollment ID: I20181204003552 |
Provider Name | Belinda Ann Burden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609364934 PECOS PAC ID: 1052656154 Enrollment ID: I20181218002242 |
Provider Name | Stephanie Diane Kincaid |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699127381 PECOS PAC ID: 4587909684 Enrollment ID: I20181218002322 |
Provider Name | Lisa M Daina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841523032 PECOS PAC ID: 3870833163 Enrollment ID: I20190325000542 |
Provider Name | Ashley Dalice Webb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275005696 PECOS PAC ID: 1456692342 Enrollment ID: I20190402001244 |
Provider Name | Vivian Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194373084 PECOS PAC ID: 9436489549 Enrollment ID: I20191002001571 |
Provider Name | Jackolyn E Casanova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558837674 PECOS PAC ID: 0648602854 Enrollment ID: I20191108001393 |
Provider Name | Wendell Reginald Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063069466 PECOS PAC ID: 6204261654 Enrollment ID: I20200114000806 |
Provider Name | Taylor Nix |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396217030 PECOS PAC ID: 3779912811 Enrollment ID: I20200410001846 |
Provider Name | April Theresa Hickman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487289823 PECOS PAC ID: 3870924830 Enrollment ID: I20200507002869 |
Provider Name | Thomas Hornick |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114930534 PECOS PAC ID: 2163688300 Enrollment ID: I20200520003394 |
Provider Name | Justin Hunt |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326138074 PECOS PAC ID: 6901842228 Enrollment ID: I20210121002695 |
Provider Name | Carolyn Hays |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992216469 PECOS PAC ID: 2466717160 Enrollment ID: I20210219002543 |
Provider Name | Nicole Pondillo |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285220913 PECOS PAC ID: 4880001064 Enrollment ID: I20210406001745 |
Provider Name | Rachel Sabb |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629321096 PECOS PAC ID: 0547412371 Enrollment ID: I20210628003402 |
Provider Name | Laura L Rice |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922771948 PECOS PAC ID: 4183022841 Enrollment ID: I20211011000485 |
Provider Name | Elise T Castelli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275173148 PECOS PAC ID: 9032508775 Enrollment ID: I20211117003248 |
Provider Name | April Birkmire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558028837 PECOS PAC ID: 9032501861 Enrollment ID: I20220127002499 |
Provider Name | Mira Desai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538559190 PECOS PAC ID: 6800104787 Enrollment ID: I20220623001853 |
Provider Name | Rachel Hildebrand |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528531258 PECOS PAC ID: 7416299748 Enrollment ID: I20220627001281 |
Provider Name | Hebah Arroyo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265951792 PECOS PAC ID: 1557787637 Enrollment ID: I20220728002930 |
Provider Name | Chad E Breznak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639806631 PECOS PAC ID: 1052796729 Enrollment ID: I20220915002829 |
Provider Name | Brittany Kafka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245963354 PECOS PAC ID: 5597140111 Enrollment ID: I20220919001663 |
Provider Name | Sunny Alanna Grosz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467773747 PECOS PAC ID: 5991181901 Enrollment ID: I20220928002696 |
Provider Name | Timanika Dansby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083016547 PECOS PAC ID: 5698061299 Enrollment ID: I20221128001102 |
Provider Name | Ashley C Duke |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487317038 PECOS PAC ID: 8325417819 Enrollment ID: I20221205002173 |
Provider Name | Mackenzie Kriebel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508581588 PECOS PAC ID: 2860861168 Enrollment ID: I20221208001320 |
Provider Name | Tuwanda Williamson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629018528 PECOS PAC ID: 6608817630 Enrollment ID: I20230103002881 |
Provider Name | Griffin Myers |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1871817643 PECOS PAC ID: 7719145127 Enrollment ID: I20230515001391 |
Provider Name | Krista Kasinec |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558637991 PECOS PAC ID: 7315236205 Enrollment ID: I20230901002606 |
Provider Name | Valerie Weiss |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578982013 PECOS PAC ID: 7517238660 Enrollment ID: I20230905003967 |
Provider Name | Tonya Hegwood |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023250578 PECOS PAC ID: 5395966006 Enrollment ID: I20230927002224 |
Provider Name | Delois Ellies-gibbs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750965059 PECOS PAC ID: 7911301338 Enrollment ID: I20231109000709 |
Provider Name | Rachel Bergman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295589216 PECOS PAC ID: 3375077720 Enrollment ID: I20241107004353 |
Provider Name | Quanza Mooring |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770281016 PECOS PAC ID: 8224402920 Enrollment ID: I20241202000822 |
Lutheran Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1730 W 25th St, Cleveland, OH 44113 Phone: 216-696-4300 | |
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New Directions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30800 Chagrin Blvd, Cleveland, OH 44124 Phone: 216-591-0324 | |
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