OUTREACH PROFESSIONAL SERVICES INC NPI 1326220930

NPI Information

NPI: 1326220930
Provider Name: OUTREACH PROFESSIONAL SERVICES INC

Doing Business As: CUYAHOGA PHYSICIAN NETWORK

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
2351 EAST 22ND ST
CLEVELAND, OH
ZIP 44115
Phone: (216) 861-6200
Get Directions

OUTREACH PROFESSIONAL SERVICES INC is a pulmonary disease internal medicine in Cleveland, OH. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. OUTREACH PROFESSIONAL SERVICES INC NPI is 1326220930. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cuyahoga Physician Network.

The provider's business location address is:

2351 EAST 22ND ST
CLEVELAND, OH
ZIP 44115
Phone: (216) 861-6200

The provider's authorized official is Misty A Blaylock .
The authorized official title is Credentialing Coordinator and has the following contact phone number (440) 892-6406.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 1/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207L00000X	Anesthesiology		No
2	207Q00000X	Family Medicine		No
3	207R00000X	Internal Medicine		No
4	207RG0300X	Internal Medicine	Geriatric Medicine	No
5	207RR0500X	Internal Medicine	Rheumatology	No
6	207T00000X	Neurological Surgery		No
7	207X00000X	Orthopaedic Surgery		No
8	2084N0400X	Psychiatry & Neurology	Neurology	No
9	2084P0800X	Psychiatry & Neurology	Psychiatry	No
10	208600000X	Surgery		No
11	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		No
12	213E00000X	Podiatrist		No
13	207RP1001X	Internal Medicine	Pulmonary Disease	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0251856	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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