| Resihealth Of Ohio, Professional Corporation | |
|
2020 Taylor Rd Cleveland OH 44112-2963 | |
| (917) 607-1578 | |
| Not Available |
| Full Name | Resihealth Of Ohio, Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 2020 Taylor Rd, Cleveland, Ohio |
| Authorized Official Name and Position | William Adrian Blackwell (OWNER) |
| Authorized Official Contact | 4847070999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resihealth Of Ohio, Professional Corporation 2020 Taylor Rd Cleveland OH 44112-2963 Ph: (216) 200-6552 | Resihealth Of Ohio, Professional Corporation 2020 Taylor Rd Cleveland OH 44112-2963 Ph: (917) 607-1578 |
| NPI Number | 1114639861 |
|---|---|
| Provider Enumeration Date | 12/14/2022 |
| Last Update Date | 05/02/2023 |
| Medicare PECOS PAC ID | 1658737762 |
|---|---|
| Medicare Enrollment ID | O20230516001419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114639861 | NPI | - | NPPES |
| 0006476 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Anne Elizabeth Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811951262 PECOS PAC ID: 4688563471 Enrollment ID: I20040311000258 |
| Provider Name | Andrew K Brobbey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679554877 PECOS PAC ID: 3870575954 Enrollment ID: I20040602001435 |
| Provider Name | Ibrahim Bshara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740256445 PECOS PAC ID: 7113024415 Enrollment ID: I20070522000187 |
| Provider Name | Ketura Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821229378 PECOS PAC ID: 0648555698 Enrollment ID: I20170314001604 |
| Provider Name | Rachel Askew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114227931 PECOS PAC ID: 3072870179 Enrollment ID: I20171128001438 |
| Provider Name | Rebecca Lewis-sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366910085 PECOS PAC ID: 2860733797 Enrollment ID: I20190403000329 |
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