| Id Consultants, Inc | |
|
3609 Park East Dr 207 Beachwood OH 44122-4331 | |
| (216) 360-0456 | |
| (216) 360-9449 |
| Full Name | Id Consultants, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3609 Park East Dr, Beachwood, Ohio |
| Authorized Official Name and Position | Vimala Shekar (ADMINISTRATOR) |
| Authorized Official Contact | 2163600456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Consultants, Inc 3609 Park East Dr Suite 207 Beachwood OH 44122-4331 Ph: (216) 360-0456 | Id Consultants, Inc 3609 Park East Dr 207 Beachwood OH 44122-4331 Ph: (216) 360-0456 |
| NPI Number | 1124058920 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 08/19/2021 |
| Medicare PECOS PAC ID | 7012995574 |
|---|---|
| Medicare Enrollment ID | O20040711000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124058920 | NPI | - | NPPES |
| 2485074 | Medicaid | OH | |
| 2519279 | Medicaid | OH | |
| 2624262 | Medicaid | OH | |
| 2519297 | Medicaid | OH | |
| 2519288 | Medicaid | OH | |
| 0119080 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | K V Gopalakrishna |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295769735 PECOS PAC ID: 4385622851 Enrollment ID: I20040717000302 |
| Provider Name | Richard A Chmielewski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174557615 PECOS PAC ID: 7012996598 Enrollment ID: I20040717000406 |
| Provider Name | David M Hutt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992739445 PECOS PAC ID: 9830178318 Enrollment ID: I20040717000408 |
| Provider Name | Raja Shekar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063442846 PECOS PAC ID: 1658359112 Enrollment ID: I20040717000414 |
| Provider Name | Eva Ann Szathmary |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750311544 PECOS PAC ID: 9739168212 Enrollment ID: I20040717000418 |
| Provider Name | Najma Abdul Razzak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841227063 PECOS PAC ID: 3173597648 Enrollment ID: I20040820000756 |
| Provider Name | Matthew Schinabeck |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285662346 PECOS PAC ID: 8729047618 Enrollment ID: I20041006001040 |
| Provider Name | Houssein D Jahamy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982730578 PECOS PAC ID: 3971603689 Enrollment ID: I20070711000086 |
| Provider Name | David B Blossom |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255501557 PECOS PAC ID: 3375614043 Enrollment ID: I20080624000471 |
| Provider Name | William John Riebel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942213277 PECOS PAC ID: 8224153945 Enrollment ID: I20100917000178 |
| Provider Name | Zhuolin Han |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811034622 PECOS PAC ID: 0042489122 Enrollment ID: I20110805000423 |
| Provider Name | Dana L Reeher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770800229 PECOS PAC ID: 6305010471 Enrollment ID: I20130507000342 |
| Provider Name | Philip R Cataline |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720387392 PECOS PAC ID: 2567691603 Enrollment ID: I20140212001093 |
| Provider Name | Carrie Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801205109 PECOS PAC ID: 3173743150 Enrollment ID: I20140926000794 |
| Provider Name | Kristina Stallard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972953032 PECOS PAC ID: 8820376411 Enrollment ID: I20161102001789 |
| Provider Name | Carrie A Schwemley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154778843 PECOS PAC ID: 7618255183 Enrollment ID: I20161103001932 |
| Provider Name | Sachin V Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942592258 PECOS PAC ID: 3577864941 Enrollment ID: I20161109001725 |
| Provider Name | Kelsey C Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083131338 PECOS PAC ID: 8426318304 Enrollment ID: I20180214002727 |
| Provider Name | Tannaz Asadi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790122893 PECOS PAC ID: 3577826924 Enrollment ID: I20180417001612 |
| Provider Name | Rishi Sharma |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225472376 PECOS PAC ID: 7517260276 Enrollment ID: I20180604002901 |
| Provider Name | Hilary Steele |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912342106 PECOS PAC ID: 6204060494 Enrollment ID: I20180710002990 |
| Provider Name | Christina Dibartolomeo Boswell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972031037 PECOS PAC ID: 2365798527 Enrollment ID: I20190725003519 |
| Provider Name | Denise Paulat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649836784 PECOS PAC ID: 7416386669 Enrollment ID: I20200409000604 |
| Provider Name | Muhannad Tello |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902118136 PECOS PAC ID: 7012145501 Enrollment ID: I20200514000398 |
| Provider Name | Shawna Downey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306440474 PECOS PAC ID: 3173590890 Enrollment ID: I20210122001093 |
| Provider Name | Nicole Rizzardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134704901 PECOS PAC ID: 9537568316 Enrollment ID: I20210527001188 |
| Provider Name | Jacqui Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245813732 PECOS PAC ID: 6103221221 Enrollment ID: I20210826002923 |
| Provider Name | Olivia Szalay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982360681 PECOS PAC ID: 6204228349 Enrollment ID: I20220121001057 |
| Provider Name | Megan Hebb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003287186 PECOS PAC ID: 0648666388 Enrollment ID: I20220406002146 |
| Provider Name | Lee-ann Purtthipatkool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275924169 PECOS PAC ID: 5799006532 Enrollment ID: I20230322000830 |
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