Neighborhood Family Practice | |
3569 Ridge Rd Cleveland OH 44102-5443 | |
(216) 681-0872 | |
Not Available |
Full Name | Neighborhood Family Practice |
---|---|
Speciality | Clinic/Center |
Location | 3569 Ridge Rd, Cleveland, Ohio |
Authorized Official Name and Position | Jean Polster (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2162810872 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Neighborhood Family Practice 3569 Ridge Rd Cleveland OH 44102-5443 Ph: (216) 681-0872 | Neighborhood Family Practice 3569 Ridge Rd Cleveland OH 44102-5443 Ph: (216) 681-0872 |
NPI Number | 1720135304 |
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Provider Enumeration Date | 01/04/2007 |
Last Update Date | 03/05/2014 |
Medicare PECOS PAC ID | 2668466012 |
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Medicare Enrollment ID | O20040409000318 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720135304 | NPI | - | NPPES |
0453076 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Mary Harrison |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1629006721 PECOS PAC ID: 2769468123 Enrollment ID: I20040625001077 |
Provider Name | Julie A Kellon |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1831135342 PECOS PAC ID: 0446239149 Enrollment ID: I20040719000243 |
Provider Name | Erick R Kauffman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447201256 PECOS PAC ID: 9335198803 Enrollment ID: I20050121000755 |
Provider Name | Ann Reichsman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013975242 PECOS PAC ID: 3375592850 Enrollment ID: I20050121000815 |
Provider Name | Anne Wise |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568429884 PECOS PAC ID: 1254380744 Enrollment ID: I20050121000860 |
Provider Name | Kurt C Stange |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912923756 PECOS PAC ID: 5991747412 Enrollment ID: I20050525000456 |
Provider Name | Charles J Garven |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568442861 PECOS PAC ID: 5991726374 Enrollment ID: I20051213000547 |
Provider Name | Joseph Labastille |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477638773 PECOS PAC ID: 0941209845 Enrollment ID: I20061204000032 |
Provider Name | Laura H Rocker |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326068305 PECOS PAC ID: 2567566250 Enrollment ID: I20070406000336 |
Provider Name | Natalia A Parkanzky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154541969 PECOS PAC ID: 2365502515 Enrollment ID: I20081119000029 |
Provider Name | Kelly E Cunningham |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780730788 PECOS PAC ID: 8921167057 Enrollment ID: I20090318000727 |
Provider Name | Amy E Ebbitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902056823 PECOS PAC ID: 3274689484 Enrollment ID: I20090914000004 |
Provider Name | Christine Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538224886 PECOS PAC ID: 6507900396 Enrollment ID: I20100217000361 |
Provider Name | Mary Jo Slattery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932280823 PECOS PAC ID: 9830225796 Enrollment ID: I20100330000770 |
Provider Name | Janeen M Drazdik |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164530879 PECOS PAC ID: 5496889156 Enrollment ID: I20100817000479 |
Provider Name | Nancy Carver |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649596644 PECOS PAC ID: 6608060512 Enrollment ID: I20101104000019 |
Provider Name | Daniel M Gauntner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518951540 PECOS PAC ID: 6800875790 Enrollment ID: I20101215000049 |
Provider Name | Heidi L Gullett |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487722690 PECOS PAC ID: 8022107325 Enrollment ID: I20110810000527 |
Provider Name | Mary Keating |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912111576 PECOS PAC ID: 2961669080 Enrollment ID: I20120201000543 |
Provider Name | Susan J Knope |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386919546 PECOS PAC ID: 8022278779 Enrollment ID: I20120404000542 |
Provider Name | James Diekroger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881869139 PECOS PAC ID: 5496911711 Enrollment ID: I20120731000539 |
Provider Name | Siobhan D Malave |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477876191 PECOS PAC ID: 6103066808 Enrollment ID: I20130701000111 |
Provider Name | Kathryn Maistros |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1043650997 PECOS PAC ID: 4486889730 Enrollment ID: I20131023000532 |
Provider Name | Greta Dishong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770910804 PECOS PAC ID: 3577799543 Enrollment ID: I20131121000885 |
Provider Name | Emily Leslie |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1205266327 PECOS PAC ID: 9739317470 Enrollment ID: I20140102000526 |
Provider Name | Joannah Lynch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366865974 PECOS PAC ID: 5597996835 Enrollment ID: I20140328002179 |
Provider Name | Lisa C Navracruz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124025093 PECOS PAC ID: 9638392517 Enrollment ID: I20140521002091 |
Provider Name | Susan A Obrien |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1447503453 PECOS PAC ID: 7113140096 Enrollment ID: I20140521002392 |
Provider Name | Lisa M Prebish |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932504263 PECOS PAC ID: 1052635018 Enrollment ID: I20150121002355 |
Provider Name | Holly Cliffel |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154724243 PECOS PAC ID: 6305161951 Enrollment ID: I20150203000306 |
Provider Name | Aleksandra Rabinovich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881035863 PECOS PAC ID: 5395977425 Enrollment ID: I20150220000918 |
Provider Name | Leslie R Gibbs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922407998 PECOS PAC ID: 8628397429 Enrollment ID: I20150429000471 |
Provider Name | Kathryn M Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033451190 PECOS PAC ID: 1557500519 Enrollment ID: I20150624000966 |
Provider Name | Debra R Bowes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003299249 PECOS PAC ID: 9335453414 Enrollment ID: I20150803001892 |
Provider Name | Melanie E Golembiewski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275851685 PECOS PAC ID: 8820305642 Enrollment ID: I20150910002922 |
Provider Name | Charles J Garven |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871855015 PECOS PAC ID: 8224277629 Enrollment ID: I20151106002251 |
Provider Name | Lauren E Lasko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669711461 PECOS PAC ID: 0840422663 Enrollment ID: I20160128002045 |
Provider Name | Teegan Mckeon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164884912 PECOS PAC ID: 4880972199 Enrollment ID: I20161020001094 |
Provider Name | Alenna Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649728155 PECOS PAC ID: 6103106489 Enrollment ID: I20161201002386 |
Provider Name | Lacresha Rox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427386994 PECOS PAC ID: 0042579963 Enrollment ID: I20180122001255 |
Provider Name | Donna Kelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538554191 PECOS PAC ID: 1850650771 Enrollment ID: I20180122001286 |
Provider Name | Jennifer Sobrowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023429875 PECOS PAC ID: 2769742279 Enrollment ID: I20180201000664 |
Provider Name | Mandy L Healey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639678329 PECOS PAC ID: 2769743152 Enrollment ID: I20180227002744 |
Provider Name | Shoba Belegundu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386053304 PECOS PAC ID: 4880955046 Enrollment ID: I20180302002043 |
Provider Name | Tina Laisure |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558803437 PECOS PAC ID: 5698036853 Enrollment ID: I20180302002086 |
Provider Name | Mandisa Molton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205282084 PECOS PAC ID: 3971864158 Enrollment ID: I20180305000479 |
Provider Name | Natalie Adsuar |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1790782365 PECOS PAC ID: 1759352891 Enrollment ID: I20190416001752 |
Provider Name | Alaina M Pardee-miller |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659616704 PECOS PAC ID: 4183966898 Enrollment ID: I20190430000349 |
Provider Name | Bartlomiej Rog |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851719264 PECOS PAC ID: 1355683061 Enrollment ID: I20190430000380 |
Provider Name | Paul Hirschel |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992184162 PECOS PAC ID: 0547502262 Enrollment ID: I20190430000769 |
Provider Name | Emily Sadri |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1669832408 PECOS PAC ID: 7810239290 Enrollment ID: I20190506000660 |
Provider Name | Lauren Kreiger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699160655 PECOS PAC ID: 0345559605 Enrollment ID: I20190510001847 |
Provider Name | Kathleen Lawrence |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1770971335 PECOS PAC ID: 4688917784 Enrollment ID: I20190513001008 |
Provider Name | Katherine Anne Chilton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235371287 PECOS PAC ID: 2264580448 Enrollment ID: I20190513002300 |
Provider Name | Brian A Bouchard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639533037 PECOS PAC ID: 7911233176 Enrollment ID: I20190725001057 |
Provider Name | Selah Westfall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396247938 PECOS PAC ID: 2062749229 Enrollment ID: I20190809002124 |
Provider Name | Elizabeth M Beach |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1346805900 PECOS PAC ID: 5092043612 Enrollment ID: I20190821000557 |
Provider Name | Nancy Y Li |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770938706 PECOS PAC ID: 5294006896 Enrollment ID: I20191003001399 |
Provider Name | Prakash R Ganesh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154680924 PECOS PAC ID: 3072835958 Enrollment ID: I20191114003120 |
Provider Name | Natalie O Clark |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225337900 PECOS PAC ID: 5597191197 Enrollment ID: I20200204001013 |
Provider Name | Michael Cohen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285801126 PECOS PAC ID: 5698198166 Enrollment ID: I20200701001045 |
Provider Name | Kelly J Satola |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1134200082 PECOS PAC ID: 5092138685 Enrollment ID: I20200715001744 |
Provider Name | Nadia M Robinson |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1407460488 PECOS PAC ID: 5890108427 Enrollment ID: I20201228002441 |
Provider Name | Sharita Tedder-edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356997811 PECOS PAC ID: 7618385451 Enrollment ID: I20210416000722 |
Provider Name | Anthony Wesolowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841861655 PECOS PAC ID: 6002219656 Enrollment ID: I20210720003991 |
Provider Name | Corey Meador |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619401874 PECOS PAC ID: 4486903416 Enrollment ID: I20211018002092 |
Provider Name | Stephanie Deuley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043717994 PECOS PAC ID: 0941555122 Enrollment ID: I20211019002098 |
Provider Name | Molly Rehak |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821457151 PECOS PAC ID: 9638567746 Enrollment ID: I20211021003290 |
Provider Name | Christa Rubbelke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124790845 PECOS PAC ID: 2163812546 Enrollment ID: I20211127000016 |
Provider Name | Rene Ariele Fitzpatrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235890476 PECOS PAC ID: 8224421599 Enrollment ID: I20220209000803 |
Provider Name | Elizabeth Meeker |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154839868 PECOS PAC ID: 9638564792 Enrollment ID: I20220328001740 |
Provider Name | Sandra C Sauereisen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659345684 PECOS PAC ID: 3072573609 Enrollment ID: I20220329002237 |
Provider Name | Kathleen Kilcline |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619413465 PECOS PAC ID: 0446616882 Enrollment ID: I20230510000690 |
Provider Name | Mary Digeronimo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528785078 PECOS PAC ID: 4082070420 Enrollment ID: I20230510000718 |
Provider Name | Katherine Donofrio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922700764 PECOS PAC ID: 8527424969 Enrollment ID: I20230510000744 |
Provider Name | Domonique Williams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174091789 PECOS PAC ID: 7911351036 Enrollment ID: I20230922003346 |
Provider Name | Madeleine Keller |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1790232114 PECOS PAC ID: 9638515174 Enrollment ID: I20240307000448 |
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