OUTREACH PROFESSIONAL SERVICES INC. NPI 1609186204

NPI Information

  • NPI: 1609186204
  • Provider Name: OUTREACH PROFESSIONAL SERVICES, INC.
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Doing Business As: CUYAHOGA PHYSICIAN NETWORK
  • Address: 4400 ROCKSIDE ROAD
    SUITE 2200
    INDEPENDENCE, OH
    ZIP 44131
  • Phone: (216) 363-7075

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NPI Details

OUTREACH PROFESSIONAL SERVICES, INC. is a surgery in Independence, OH. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. OUTREACH PROFESSIONAL SERVICES, INC. NPI is 1609186204. 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:

4400 ROCKSIDE ROAD
SUITE 2200
INDEPENDENCE, OH
ZIP 44131
Phone: (216) 363-7075
Fax: (216) 624-7592

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 10/15/2010 and was last updated on 10/15/2010.

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 License Number License State Primary
1208600000XSurgeryYes

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
19322324MEDICARE PINOHIO
20251856MEDICAIDOHIO

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: 11/21/2025

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