Northeast Ohio Neighborhood Health Services, Inc. | |
8300 Hough Ave Cleveland OH 44103-4247 | |
(216) 231-7700 | |
(216) 231-7920 |
Full Name | Northeast Ohio Neighborhood Health Services, Inc. |
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Speciality | Clinic/Center |
Location | 8300 Hough Ave, Cleveland, Ohio |
Authorized Official Name and Position | Willlie F. Austin (PRESIDENT & CEO) |
Authorized Official Contact | 2162317700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northeast Ohio Neighborhood Health Services, Inc. 8300 Hough Ave Cleveland OH 44103-4247 Ph: (216) 231-7700 | Northeast Ohio Neighborhood Health Services, Inc. 8300 Hough Ave Cleveland OH 44103-4247 Ph: (216) 231-7700 |
NPI Number | 1851302665 |
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Provider Enumeration Date | 08/10/2006 |
Last Update Date | 04/10/2008 |
Medicare PECOS PAC ID | 5799756615 |
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Medicare Enrollment ID | O20040804000672 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851302665 | NPI | - | NPPES |
0850404 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Heidi A Harris |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962470690 PECOS PAC ID: 4183525280 Enrollment ID: I20040120000611 |
Provider Name | Christine L Russo |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669507554 PECOS PAC ID: 5294628335 Enrollment ID: I20040204000086 |
Provider Name | Leone L Peeples |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1649296930 PECOS PAC ID: 2264414614 Enrollment ID: I20040601001195 |
Provider Name | Meade G Ignacio-francisco |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1861594699 PECOS PAC ID: 9638143498 Enrollment ID: I20040825001692 |
Provider Name | Jennifer Rose Mizak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033208186 PECOS PAC ID: 7315912029 Enrollment ID: I20040826001311 |
Provider Name | Karen Clarice Kirby |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1609929777 PECOS PAC ID: 2062487796 Enrollment ID: I20040826001468 |
Provider Name | Brenda Joyce Perryman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467566695 PECOS PAC ID: 5193791630 Enrollment ID: I20040907000995 |
Provider Name | Rekha D Ujla |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033145883 PECOS PAC ID: 0941279590 Enrollment ID: I20040929001267 |
Provider Name | Morris T Haywood |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1316945884 PECOS PAC ID: 0941296719 Enrollment ID: I20041026000073 |
Provider Name | Edwina Simmons |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1073502589 PECOS PAC ID: 5193776177 Enrollment ID: I20050208000060 |
Provider Name | Valerie Lynn Powers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376521286 PECOS PAC ID: 4789631482 Enrollment ID: I20050405000842 |
Provider Name | Valerie T Coats |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912019324 PECOS PAC ID: 2860415692 Enrollment ID: I20060109000032 |
Provider Name | Jerome Williams |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023200284 PECOS PAC ID: 4183785058 Enrollment ID: I20081210000629 |
Provider Name | Raymond Samaroo |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1598920191 PECOS PAC ID: 3971666439 Enrollment ID: I20090115000081 |
Provider Name | Pamela Redden |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467534164 PECOS PAC ID: 3375668411 Enrollment ID: I20100914000326 |
Provider Name | Ernest A Smoot |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1558455352 PECOS PAC ID: 6406971472 Enrollment ID: I20100914000815 |
Provider Name | Anita M Watson |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1902990658 PECOS PAC ID: 8628193646 Enrollment ID: I20100915000074 |
Provider Name | Fannie L Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922383264 PECOS PAC ID: 0941456479 Enrollment ID: I20120815000640 |
Provider Name | Joji Gacad |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1396857736 PECOS PAC ID: 1153565015 Enrollment ID: I20130913000543 |
Provider Name | Meghan M Hazra |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1912952748 PECOS PAC ID: 6204825516 Enrollment ID: I20150406001631 |
Provider Name | I Kumar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689677809 PECOS PAC ID: 5991847584 Enrollment ID: I20150601001181 |
Provider Name | Amber K Dumas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912148081 PECOS PAC ID: 3577871375 Enrollment ID: I20150928002612 |
Provider Name | Maureen Fabo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659728293 PECOS PAC ID: 9436438363 Enrollment ID: I20161117001150 |
Provider Name | Billy B Foster |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1972688539 PECOS PAC ID: 1456636224 Enrollment ID: I20170316002371 |
Provider Name | Nnennaya Okocha |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1174752901 PECOS PAC ID: 2769703115 Enrollment ID: I20170511002281 |
Provider Name | Charles H Ondobo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861929465 PECOS PAC ID: 5698044550 Enrollment ID: I20170707002945 |
Provider Name | Patricia A Yost |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1770550428 PECOS PAC ID: 2668474792 Enrollment ID: I20170817003608 |
Provider Name | Kimberly M Peacock |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235541665 PECOS PAC ID: 7012206329 Enrollment ID: I20180607001603 |
Provider Name | Pamela Graham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437651445 PECOS PAC ID: 0840542098 Enrollment ID: I20181016002823 |
Provider Name | Bronwyn Dworkin |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1992271951 PECOS PAC ID: 9830442292 Enrollment ID: I20181101000284 |
Provider Name | Beverly Foster |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1639261340 PECOS PAC ID: 8426357054 Enrollment ID: I20181109000482 |
Provider Name | Michael Stuhler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578031704 PECOS PAC ID: 2668718362 Enrollment ID: I20190117001725 |
Provider Name | Bryan L Wagner |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1629621545 PECOS PAC ID: 3870820152 Enrollment ID: I20190808003134 |
Provider Name | Casandra Solomon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669961058 PECOS PAC ID: 9931531001 Enrollment ID: I20191111001306 |
Provider Name | Brittni Montgomery |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265928741 PECOS PAC ID: 1456761766 Enrollment ID: I20201027002354 |
Provider Name | Jessica M Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336730803 PECOS PAC ID: 0345655858 Enrollment ID: I20210216000664 |
Provider Name | Pamela S Pope |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285261503 PECOS PAC ID: 8224446026 Enrollment ID: I20210415002040 |
Provider Name | Regina L Savage |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1235227166 PECOS PAC ID: 1850536715 Enrollment ID: I20230707002153 |
Provider Name | Payal Bhagat |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1548954449 PECOS PAC ID: 8426419144 Enrollment ID: I20230727003447 |
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