| Care Alliance | |
|
1795 W 25th St Cleveland OH 44113-3112 | |
| (216) 619-5571 | |
| (216) 619-5574 |
| Full Name | Care Alliance |
|---|---|
| Speciality | Clinic/Center |
| Location | 1795 W 25th St, Cleveland, Ohio |
| Authorized Official Name and Position | Francis Afram-gyening (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2167816228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Alliance 1530 Saint Clair Ave Ne Cleveland OH 44114-2004 Ph: (216) 781-6228 | Care Alliance 1795 W 25th St Cleveland OH 44113-3112 Ph: (216) 619-5571 |
| NPI Number | 1497922520 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 04/05/2012 |
| Medicare PECOS PAC ID | 8527034818 |
|---|---|
| Medicare Enrollment ID | O20140521001309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497922520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 847979 (Ohio) | Primary |
| Provider Name | Maureen A Roheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932279098 PECOS PAC ID: 2062660483 Enrollment ID: I20120910000558 |
| Provider Name | Billie R Murton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467816157 PECOS PAC ID: 1951690098 Enrollment ID: I20160512002521 |
| Provider Name | Nikki C White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760838239 PECOS PAC ID: 2163714932 Enrollment ID: I20160714002182 |
| Provider Name | David Javier Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275629719 PECOS PAC ID: 0648241232 Enrollment ID: I20180606001379 |
| Provider Name | Claude L Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952570863 PECOS PAC ID: 2264509058 Enrollment ID: I20190501002483 |
| Provider Name | Francisca U Onunaku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750530408 PECOS PAC ID: 0244627941 Enrollment ID: I20220427003048 |
| Provider Name | James R Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396844684 PECOS PAC ID: 2466487665 Enrollment ID: I20220713002640 |
| Provider Name | Nicholas Butler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528444809 PECOS PAC ID: 6103171467 Enrollment ID: I20220829000302 |
| Provider Name | Mary I Bazie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821374406 PECOS PAC ID: 7911337670 Enrollment ID: I20240206003918 |
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