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OUTREACH PROFESSIONAL SERVICES INC NPI 1558543215


NPI Information

NPI: 1558543215
Provider Name: OUTREACH PROFESSIONAL SERVICES INC

Doing Business As: CUYAHOGA PHYSICIAN NETWORK

Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
2322 EAST 22ND ST
SUITE 201
CLEVELAND, OH
ZIP 44115
Phone: (216) 363-2606
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OUTREACH PROFESSIONAL SERVICES INC is a rheumatology internal medicine in Cleveland, OH. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. OUTREACH PROFESSIONAL SERVICES INC NPI is 1558543215. 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:

2322 EAST 22ND ST
SUITE 201
CLEVELAND, OH
ZIP 44115
Phone: (216) 363-2606

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 12/4/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4207RG0300XInternal MedicineGeriatric MedicineNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
6207T00000XNeurological SurgeryNo
7207V00000XObstetrics & GynecologyNo
8207X00000XOrthopaedic SurgeryNo
92084N0400XPsychiatry & NeurologyNeurologyNo
102084P0800XPsychiatry & NeurologyPsychiatryNo
11208600000XSurgeryNo
12208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
13213E00000XPodiatristNo
14367A00000XAdvanced Practice MidwifeNo
15207RR0500XInternal MedicineRheumatologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10251856MEDICAIDOHIO

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

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