| Encore Clinical Services Llc | |
|
12301 Ridge Rd, North Royalton, OH 44133-3744 | |
| (440) 652-8748 | |
| (440) 582-3171 |
| Full Name | Encore Clinical Services Llc |
|---|---|
| Type | Facility |
| Speciality | Nurse Practitioner |
| Location | 12301 Ridge Rd, North Royalton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184346140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Daniel Borison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669423836 PECOS PAC ID: 9234132051 Enrollment ID: I20060831000516 |
| Provider Name | David Perse |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154398204 PECOS PAC ID: 1052415379 Enrollment ID: I20070327000211 |
| Provider Name | Katherine R Ledyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437477528 PECOS PAC ID: 5294868774 Enrollment ID: I20100804000635 |
| Provider Name | Christopher Ambrosino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720395239 PECOS PAC ID: 3375730898 Enrollment ID: I20101209001203 |
| Provider Name | Seana Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932598927 PECOS PAC ID: 7416258470 Enrollment ID: I20151216000418 |
| Provider Name | Kimberly Itayem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013374917 PECOS PAC ID: 3072897511 Enrollment ID: I20170301002155 |
| Provider Name | Cassie Broyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649775198 PECOS PAC ID: 2567726656 Enrollment ID: I20180425001228 |
| Provider Name | Caitlin Marie Imhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932692183 PECOS PAC ID: 4284980509 Enrollment ID: I20180628002470 |
| Provider Name | Susan Lynn Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538637962 PECOS PAC ID: 5799029328 Enrollment ID: I20181207000981 |
| Provider Name | Barbara R. Shue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255813010 PECOS PAC ID: 1254675689 Enrollment ID: I20181211003485 |
| Provider Name | Shari Villafane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023501392 PECOS PAC ID: 0446596126 Enrollment ID: I20190117000985 |
| Provider Name | Michael Romis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699317826 PECOS PAC ID: 0648604025 Enrollment ID: I20191217002334 |
| Provider Name | Wendy Plumley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063001683 PECOS PAC ID: 5890109391 Enrollment ID: I20210125000938 |
| Provider Name | Shea H Lofty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154915155 PECOS PAC ID: 5294141545 Enrollment ID: I20210310002903 |
| Provider Name | Kerrie M Angelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811585532 PECOS PAC ID: 0648687350 Enrollment ID: I20210325000206 |
| Provider Name | Whitney Sage Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255926267 PECOS PAC ID: 0042627770 Enrollment ID: I20210325000935 |
| Provider Name | Christopher Hymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447832787 PECOS PAC ID: 7416366265 Enrollment ID: I20210506001373 |
| Provider Name | Michelle Schreiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497331540 PECOS PAC ID: 7113326927 Enrollment ID: I20210527002485 |
| Provider Name | Morgan E Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952067936 PECOS PAC ID: 3274923974 Enrollment ID: I20211213002171 |
| Provider Name | Angela Maria Melean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184385387 PECOS PAC ID: 3779970736 Enrollment ID: I20220422000434 |
| Provider Name | Michelle J Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841940673 PECOS PAC ID: 1052793502 Enrollment ID: I20220801002005 |
| Provider Name | Alisa Dawn Katradis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205960739 PECOS PAC ID: 9032168042 Enrollment ID: I20221027000874 |
| Provider Name | Chantal Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043823073 PECOS PAC ID: 0446629281 Enrollment ID: I20221216002092 |
| Provider Name | Meagon Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942916093 PECOS PAC ID: 4385016179 Enrollment ID: I20230203000950 |
| Provider Name | Christine R Jahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689348021 PECOS PAC ID: 2668844465 Enrollment ID: I20230203001354 |
| Provider Name | Amy Rolston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932842028 PECOS PAC ID: 0941672083 Enrollment ID: I20230217001939 |
| Provider Name | Milana Shurik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851006852 PECOS PAC ID: 7315319357 Enrollment ID: I20230221000674 |
| Provider Name | Keara Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417653841 PECOS PAC ID: 9537534581 Enrollment ID: I20230405002188 |
| Provider Name | Kirsten Anne-lise Meess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811655871 PECOS PAC ID: 2466819123 Enrollment ID: I20230612001449 |
| Provider Name | Dezare Joclyn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659055838 PECOS PAC ID: 1355700584 Enrollment ID: I20230706003544 |
| Provider Name | Jaime Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427826353 PECOS PAC ID: 1254776784 Enrollment ID: I20240223003188 |
| Provider Name | Nancy Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700649134 PECOS PAC ID: 2668810482 Enrollment ID: I20240329000615 |
| Provider Name | Erin Nicole Seifert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386326106 PECOS PAC ID: 0446698732 Enrollment ID: I20240405000605 |
| Provider Name | Tetyana Shevchuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922862218 PECOS PAC ID: 1153769153 Enrollment ID: I20240410001502 |
| Provider Name | Alexandria Defrank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932979937 PECOS PAC ID: 9931548880 Enrollment ID: I20240411004135 |
| Provider Name | Alysa Petrik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447911326 PECOS PAC ID: 2466847645 Enrollment ID: I20240916003749 |
| Provider Name | Isabella Albu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700614591 PECOS PAC ID: 1355872821 Enrollment ID: I20241008003024 |
| Provider Name | Tara D Meddings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144912783 PECOS PAC ID: 8224562640 Enrollment ID: I20241107003256 |
| Provider Name | Kara Hubel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922780071 PECOS PAC ID: 4385174606 Enrollment ID: I20250303002181 |
| Provider Name | Jennifer Sue Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740691781 PECOS PAC ID: 0446476808 Enrollment ID: I20250418001206 |
| Mailing Address | Practice Location Address |
|---|---|
| Encore Clinical Services Llc 12301 Ridge Rd, North Royalton, OH 44133-3744 Ph: (440) 582-3171 | Encore Clinical Services Llc 12301 Ridge Rd, North Royalton, OH 44133-3744 Ph: (440) 652-8748 |