| Faith Medical Associates, Inc | |
|
11201 Shaker Blvd 240 Cleveland OH 44104-3869 | |
| (216) 791-0017 | |
| (216) 791-0021 |
| Full Name | Faith Medical Associates, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11201 Shaker Blvd, Cleveland, Ohio |
| Authorized Official Name and Position | Jill M Barry (VICE PRESIDENT) |
| Authorized Official Contact | 2167910017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Medical Associates, Inc 11201 Shaker Blvd 240 Cleveland OH 44104-3869 Ph: (216) 791-0017 | Faith Medical Associates, Inc 11201 Shaker Blvd 240 Cleveland OH 44104-3869 Ph: (216) 791-0017 |
| NPI Number | 1376538363 |
|---|---|
| Provider Enumeration Date | 09/15/2005 |
| Last Update Date | 11/01/2011 |
| Medicare PECOS PAC ID | 7315831898 |
|---|---|
| Medicare Enrollment ID | O20040215000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376538363 | NPI | - | NPPES |
| 0185839 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35061601 (Ohio) | Primary |
| Provider Name | Jill Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285629238 PECOS PAC ID: 1052206000 Enrollment ID: I20040218000534 |
| Provider Name | Mona L Reed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295720233 PECOS PAC ID: 8224922703 Enrollment ID: I20040219000470 |
| Provider Name | Gregory J Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609862291 PECOS PAC ID: 8729973581 Enrollment ID: I20040219000641 |
| Provider Name | Harigopal Balaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396730263 PECOS PAC ID: 5698762599 Enrollment ID: I20040430000247 |
| Provider Name | Corattur N Natesan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790770568 PECOS PAC ID: 0244294312 Enrollment ID: I20041118000010 |
| Provider Name | Lokanathan Anand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174607410 PECOS PAC ID: 3971504911 Enrollment ID: I20070118000265 |
| Provider Name | Teresa M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467793778 PECOS PAC ID: 1658518154 Enrollment ID: I20130430000382 |
| Provider Name | Brandi M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740316066 PECOS PAC ID: 2668723131 Enrollment ID: I20180921001738 |
| Provider Name | Corina Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699241026 PECOS PAC ID: 9931453420 Enrollment ID: I20181120001288 |
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