Devoted Medical Group Inc | |
3700 Park East Dr Ste 450 Beachwood OH 44122-4318 | |
(617) 958-1611 | |
Not Available |
Full Name | Devoted Medical Group Inc |
---|---|
Speciality | Clinic/Center |
Location | 3700 Park East Dr Ste 450, Beachwood, Ohio |
Authorized Official Name and Position | Aracely Courtney (PRACTICE MANAGEMENT) |
Authorized Official Contact | 8668490692 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Devoted Medical Group Inc Po Box 211699 Eagan MN 55121-3699 Ph: () - | Devoted Medical Group Inc 3700 Park East Dr Ste 450 Beachwood OH 44122-4318 Ph: (617) 958-1611 |
NPI Number | 1609474527 |
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Provider Enumeration Date | 10/13/2020 |
Last Update Date | 01/05/2024 |
Medicare PECOS PAC ID | 1052794278 |
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Medicare Enrollment ID | O20220819001526 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609474527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Carrie Kiepert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366604779 PECOS PAC ID: 6103992250 Enrollment ID: I20080915000069 |
Provider Name | Julie Jubak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780792143 PECOS PAC ID: 1254462146 Enrollment ID: I20100621000469 |
Provider Name | Kathleen E Meyer |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1093955072 PECOS PAC ID: 4486835006 Enrollment ID: I20110301001125 |
Provider Name | Kimberly A Maio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497004253 PECOS PAC ID: 8527218353 Enrollment ID: I20121101000110 |
Provider Name | Kellie Jarzembak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538597000 PECOS PAC ID: 7416264718 Enrollment ID: I20150918001868 |
Provider Name | Julie M Stone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316313109 PECOS PAC ID: 3173832797 Enrollment ID: I20151022001132 |
Provider Name | Jocelyn Butler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215288360 PECOS PAC ID: 6507167392 Enrollment ID: I20151221002065 |
Provider Name | Amy Braddock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720531254 PECOS PAC ID: 4981992476 Enrollment ID: I20161017001688 |
Provider Name | Trisha Np Khalilieh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922547439 PECOS PAC ID: 1052695665 Enrollment ID: I20170227002518 |
Provider Name | Jordan Seese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154845931 PECOS PAC ID: 2264704519 Enrollment ID: I20170821002446 |
Provider Name | Marvelyn L Allen-cage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407007966 PECOS PAC ID: 3274851035 Enrollment ID: I20180313001775 |
Provider Name | Erin Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932622123 PECOS PAC ID: 1759646276 Enrollment ID: I20180601002434 |
Provider Name | Christina Barr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710480900 PECOS PAC ID: 7113280777 Enrollment ID: I20180629002563 |
Provider Name | Jennifer Forberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841776648 PECOS PAC ID: 0244588044 Enrollment ID: I20180810001576 |
Provider Name | Kelli Mccartney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689149742 PECOS PAC ID: 7113271172 Enrollment ID: I20181112001023 |
Provider Name | Rebecca Lewis-sanders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366910085 PECOS PAC ID: 2860733797 Enrollment ID: I20190403000329 |
Provider Name | Candice Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700441862 PECOS PAC ID: 9931432531 Enrollment ID: I20190613002622 |
Provider Name | Kaitlin Six |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821558834 PECOS PAC ID: 0446585202 Enrollment ID: I20190716002148 |
Provider Name | Robyn Stone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639788417 PECOS PAC ID: 1052731742 Enrollment ID: I20201019002370 |
Provider Name | Georgina Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275090698 PECOS PAC ID: 8325379241 Enrollment ID: I20201118003312 |
Provider Name | Deborah Nash |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376166298 PECOS PAC ID: 4688088974 Enrollment ID: I20210127003489 |
Provider Name | Cassandra E Remo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881349470 PECOS PAC ID: 5890189989 Enrollment ID: I20220307002255 |
Provider Name | Sarah Kaminski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932854197 PECOS PAC ID: 9133514136 Enrollment ID: I20220309001438 |
Provider Name | Dianne C Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801104773 PECOS PAC ID: 5799973566 Enrollment ID: I20220818000750 |
Provider Name | Allyssa Deluca |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902309826 PECOS PAC ID: 2668736190 Enrollment ID: I20220830000793 |
Provider Name | Paul Di Capua |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295037430 PECOS PAC ID: 5294990420 Enrollment ID: I20220913003287 |
Provider Name | Kyle Christopher Wasil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295443612 PECOS PAC ID: 5698144202 Enrollment ID: I20221202002036 |
Provider Name | Vanessa Pedroso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235481722 PECOS PAC ID: 2961623343 Enrollment ID: I20221213002939 |
Provider Name | Claire Campbell |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1477842094 PECOS PAC ID: 0345462784 Enrollment ID: I20221214001656 |
Provider Name | Rachel Penning |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932632296 PECOS PAC ID: 0840576021 Enrollment ID: I20230111001262 |
Provider Name | Nancy Bogenrieder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821472648 PECOS PAC ID: 6204138589 Enrollment ID: I20230209002880 |
Provider Name | Sarah Bible |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699210351 PECOS PAC ID: 6800173832 Enrollment ID: I20230321002085 |
Provider Name | Adam Mckinnon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881294775 PECOS PAC ID: 0840603296 Enrollment ID: I20230327002421 |
Provider Name | Carol Mckinnon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336564731 PECOS PAC ID: 0547485187 Enrollment ID: I20230502002500 |
Provider Name | Desiree Almeyda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396269734 PECOS PAC ID: 7618234105 Enrollment ID: I20230519001435 |
Provider Name | Jennifer Bogdanowicz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427402932 PECOS PAC ID: 3870880073 Enrollment ID: I20230526000738 |
Provider Name | Cristina Bolivar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104344456 PECOS PAC ID: 5294096707 Enrollment ID: I20230620002996 |
Provider Name | Lisa Byrd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407845829 PECOS PAC ID: 0042398133 Enrollment ID: I20230731000184 |
Provider Name | Meghan Burrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245599406 PECOS PAC ID: 1052568136 Enrollment ID: I20230809003073 |
Provider Name | Robert Glass |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497049571 PECOS PAC ID: 5991922999 Enrollment ID: I20230824000409 |
Provider Name | Alyse Poll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598135089 PECOS PAC ID: 8921309287 Enrollment ID: I20230920001514 |
Provider Name | Allison Trento |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306930268 PECOS PAC ID: 3971501297 Enrollment ID: I20231212003105 |
Provider Name | Valerie Valencia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780181255 PECOS PAC ID: 0941556377 Enrollment ID: I20240403002568 |
Provider Name | Brook Calton |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1528395019 PECOS PAC ID: 6204078231 Enrollment ID: I20240404003527 |
Provider Name | Kendra Hurst |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780156844 PECOS PAC ID: 3870839491 Enrollment ID: I20240405002403 |
Provider Name | Julianna Gage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619536505 PECOS PAC ID: 6800125691 Enrollment ID: I20240425000423 |
Provider Name | Rachel Weaver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588084768 PECOS PAC ID: 5799157707 Enrollment ID: I20240429001991 |
Provider Name | Claudia Fages |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730796426 PECOS PAC ID: 2769867381 Enrollment ID: I20240429002461 |
Provider Name | Kelly Board |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649719915 PECOS PAC ID: 4789930645 Enrollment ID: I20240429002568 |
Provider Name | Crystelle Carmack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295031169 PECOS PAC ID: 2668641044 Enrollment ID: I20240430002037 |
Provider Name | Marlisa Trevino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992113930 PECOS PAC ID: 1153541503 Enrollment ID: I20240503000487 |
Provider Name | Stephanie Trembulak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548702806 PECOS PAC ID: 1951725233 Enrollment ID: I20240506003593 |
Provider Name | Sara Modeste |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881785426 PECOS PAC ID: 8224298112 Enrollment ID: I20240507002402 |
Provider Name | Shane Bridgman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447762380 PECOS PAC ID: 0749541902 Enrollment ID: I20240507003232 |
Provider Name | Stephanie Ten Eyck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487043923 PECOS PAC ID: 3274853940 Enrollment ID: I20240507004354 |
Provider Name | Rabia Chaudhry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598194409 PECOS PAC ID: 2163725409 Enrollment ID: I20240508000551 |
Provider Name | Julie Foster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639565369 PECOS PAC ID: 0648586099 Enrollment ID: I20240508002184 |
Provider Name | Susana Guzman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871963769 PECOS PAC ID: 5698061448 Enrollment ID: I20240508003773 |
Provider Name | Carolyn Mcelhinney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326358425 PECOS PAC ID: 3870772908 Enrollment ID: I20240510002489 |
Provider Name | Jessica Mendez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487125704 PECOS PAC ID: 5698015337 Enrollment ID: I20240511000124 |
Provider Name | Teresa Delbridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174164248 PECOS PAC ID: 1658706734 Enrollment ID: I20240513002097 |
Provider Name | Katrina Oconnor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033657267 PECOS PAC ID: 6507122132 Enrollment ID: I20240514000052 |
Provider Name | Andrew Sumarsono |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750822094 PECOS PAC ID: 3577980564 Enrollment ID: I20240514001975 |
Provider Name | Alison Mcgough Holliday |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992265581 PECOS PAC ID: 0840632618 Enrollment ID: I20240528003227 |
Provider Name | Alec Petersen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013370568 PECOS PAC ID: 1153618186 Enrollment ID: I20240529000512 |
Provider Name | Jeffrey Lin |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1326282716 PECOS PAC ID: 5193978369 Enrollment ID: I20240529003788 |
Provider Name | Daniel Horn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780903971 PECOS PAC ID: 8224277991 Enrollment ID: I20240530002374 |
Provider Name | Sylvester Miniea |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497352835 PECOS PAC ID: 5092107144 Enrollment ID: I20240530002572 |
Provider Name | Meghan Mcgrath |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1689883134 PECOS PAC ID: 9638261241 Enrollment ID: I20240604003489 |
Provider Name | Jason Wong |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821052242 PECOS PAC ID: 3375532559 Enrollment ID: I20240605002386 |
Provider Name | Beth Vanairsdale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932277514 PECOS PAC ID: 8022028257 Enrollment ID: I20240605002512 |
Provider Name | Kim Czerwinski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760959811 PECOS PAC ID: 5193766863 Enrollment ID: I20240606003654 |
Provider Name | Ashley Belbin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154865178 PECOS PAC ID: 5294019642 Enrollment ID: I20240607003211 |
Provider Name | Devon Sharkey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942693387 PECOS PAC ID: 9436450533 Enrollment ID: I20240608000196 |
Provider Name | Samuel Collier |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508064114 PECOS PAC ID: 9830229202 Enrollment ID: I20240611002206 |
Provider Name | Nelia Jain |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174844682 PECOS PAC ID: 3577702539 Enrollment ID: I20240611003039 |
Provider Name | Shana Noel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265942155 PECOS PAC ID: 6305108473 Enrollment ID: I20240612002420 |
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