| Devoted Medical Group Inc | |
|
3700 Park East Dr Ste 450 Beachwood OH 44122-4318 | |
| (617) 958-1611 | |
| Not Available |
| Full Name | Devoted Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3700 Park East Dr Ste 450, Beachwood, Ohio |
| Authorized Official Name and Position | Aracely Courtney (PRACTICE MANAGEMENT) |
| Authorized Official Contact | 8668490692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Devoted Medical Group Inc Po Box 211699 Eagan MN 55121-3699 Ph: () - | Devoted Medical Group Inc 3700 Park East Dr Ste 450 Beachwood OH 44122-4318 Ph: (617) 958-1611 |
| NPI Number | 1609474527 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 01/05/2024 |
| Medicare PECOS PAC ID | 1052794278 |
|---|---|
| Medicare Enrollment ID | O20220819001526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609474527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Amy Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346433810 PECOS PAC ID: 7113093469 Enrollment ID: I20080910000305 |
| Provider Name | Carrie Kiepert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366604779 PECOS PAC ID: 6103992250 Enrollment ID: I20080915000069 |
| Provider Name | Julie Jubak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780792143 PECOS PAC ID: 1254462146 Enrollment ID: I20100621000469 |
| Provider Name | Kimberly A Maio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497004253 PECOS PAC ID: 8527218353 Enrollment ID: I20121101000110 |
| Provider Name | Kellie Jarzembak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538597000 PECOS PAC ID: 7416264718 Enrollment ID: I20150918001868 |
| Provider Name | Amy Braddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720531254 PECOS PAC ID: 4981992476 Enrollment ID: I20161017001688 |
| Provider Name | Trisha Np Khalilieh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922547439 PECOS PAC ID: 1052695665 Enrollment ID: I20170227002518 |
| Provider Name | Jordan Seese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154845931 PECOS PAC ID: 2264704519 Enrollment ID: I20170821002446 |
| Provider Name | Marvelyn L Allen-cage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407007966 PECOS PAC ID: 3274851035 Enrollment ID: I20180313001775 |
| Provider Name | Christina Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710480900 PECOS PAC ID: 7113280777 Enrollment ID: I20180629002563 |
| Provider Name | Jennifer Forberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841776648 PECOS PAC ID: 0244588044 Enrollment ID: I20180810001576 |
| Provider Name | Matthew Krohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629554514 PECOS PAC ID: 1759631039 Enrollment ID: I20180906003211 |
| Provider Name | Kelli Mccartney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689149742 PECOS PAC ID: 7113271172 Enrollment ID: I20181112001023 |
| Provider Name | Rebecca Lewis-sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366910085 PECOS PAC ID: 2860733797 Enrollment ID: I20190403000329 |
| Provider Name | Candice Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700441862 PECOS PAC ID: 9931432531 Enrollment ID: I20190613002622 |
| Provider Name | Kaitlin Six |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821558834 PECOS PAC ID: 0446585202 Enrollment ID: I20190716002148 |
| Provider Name | Angela Ream |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508410606 PECOS PAC ID: 1759618549 Enrollment ID: I20190816002210 |
| Provider Name | Casey Malicoat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881019214 PECOS PAC ID: 6709115975 Enrollment ID: I20190912003635 |
| Provider Name | Robyn Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639788417 PECOS PAC ID: 1052731742 Enrollment ID: I20201019002370 |
| Provider Name | Georgina Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275090698 PECOS PAC ID: 8325379241 Enrollment ID: I20201118003312 |
| Provider Name | Deborah Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376166298 PECOS PAC ID: 4688088974 Enrollment ID: I20210127003489 |
| Provider Name | Kelsey Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235713439 PECOS PAC ID: 4385047190 Enrollment ID: I20210730000401 |
| Provider Name | Cassandra E Remo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881349470 PECOS PAC ID: 5890189989 Enrollment ID: I20220307002255 |
| Provider Name | Sarah Kaminski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932854197 PECOS PAC ID: 9133514136 Enrollment ID: I20220309001438 |
| Provider Name | Allyssa Deluca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902309826 PECOS PAC ID: 2668736190 Enrollment ID: I20220830000793 |
| Provider Name | Paul Di Capua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295037430 PECOS PAC ID: 5294990420 Enrollment ID: I20220913003287 |
| Provider Name | Kyle Wasil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295443612 PECOS PAC ID: 5698144202 Enrollment ID: I20221202002036 |
| Provider Name | Vanessa Pedroso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235481722 PECOS PAC ID: 2961623343 Enrollment ID: I20221213002939 |
| Provider Name | Claire Campbell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1477842094 PECOS PAC ID: 0345462784 Enrollment ID: I20221214001656 |
| Provider Name | Rachel Penning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932632296 PECOS PAC ID: 0840576021 Enrollment ID: I20230111001262 |
| Provider Name | Sarah Bible |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699210351 PECOS PAC ID: 6800173832 Enrollment ID: I20230321002085 |
| Provider Name | Emily Ferullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144945429 PECOS PAC ID: 1658745013 Enrollment ID: I20230327000238 |
| Provider Name | Adam Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881294775 PECOS PAC ID: 0840603296 Enrollment ID: I20230327002421 |
| Provider Name | Carol Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336564731 PECOS PAC ID: 0547485187 Enrollment ID: I20230502002500 |
| Provider Name | Desiree Almeyda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396269734 PECOS PAC ID: 7618234105 Enrollment ID: I20230519001435 |
| Provider Name | Cristina Bolivar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104344456 PECOS PAC ID: 5294096707 Enrollment ID: I20230620002996 |
| Provider Name | Lisa Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407845829 PECOS PAC ID: 0042398133 Enrollment ID: I20230731000184 |
| Provider Name | Meghan Burrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245599406 PECOS PAC ID: 1052568136 Enrollment ID: I20230809003073 |
| Provider Name | Robert Glass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497049571 PECOS PAC ID: 5991922999 Enrollment ID: I20230824000409 |
| Provider Name | Alyse Poll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598135089 PECOS PAC ID: 8921309287 Enrollment ID: I20230920001514 |
| Provider Name | Allison Trento |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306930268 PECOS PAC ID: 3971501297 Enrollment ID: I20231212003105 |
| Provider Name | Brittany Marie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346921988 PECOS PAC ID: 7113361395 Enrollment ID: I20240215001574 |
| Provider Name | Valerie Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780181255 PECOS PAC ID: 0941556377 Enrollment ID: I20240403002568 |
| Provider Name | Brook Calton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528395019 PECOS PAC ID: 6204078231 Enrollment ID: I20240404003527 |
| Provider Name | Kendra Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780156844 PECOS PAC ID: 3870839491 Enrollment ID: I20240405002403 |
| Provider Name | Julianna Gage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619536505 PECOS PAC ID: 6800125691 Enrollment ID: I20240425000423 |
| Provider Name | Rachel Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588084768 PECOS PAC ID: 5799157707 Enrollment ID: I20240429001991 |
| Provider Name | Claudia Fages |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730796426 PECOS PAC ID: 2769867381 Enrollment ID: I20240429002461 |
| Provider Name | Kelly Board |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649719915 PECOS PAC ID: 4789930645 Enrollment ID: I20240429002568 |
| Provider Name | Crystelle Carmack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295031169 PECOS PAC ID: 2668641044 Enrollment ID: I20240430002037 |
| Provider Name | Marlisa Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992113930 PECOS PAC ID: 1153541503 Enrollment ID: I20240503000487 |
| Provider Name | Stephanie Trembulak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548702806 PECOS PAC ID: 1951725233 Enrollment ID: I20240506003593 |
| Provider Name | Shane Bridgman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447762380 PECOS PAC ID: 0749541902 Enrollment ID: I20240507003232 |
| Provider Name | Stephanie Ten Eyck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487043923 PECOS PAC ID: 3274853940 Enrollment ID: I20240507004354 |
| Provider Name | Rabia Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598194409 PECOS PAC ID: 2163725409 Enrollment ID: I20240508000551 |
| Provider Name | Julie Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639565369 PECOS PAC ID: 0648586099 Enrollment ID: I20240508002184 |
| Provider Name | Susana Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871963769 PECOS PAC ID: 5698061448 Enrollment ID: I20240508003773 |
| Provider Name | Carolyn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326358425 PECOS PAC ID: 3870772908 Enrollment ID: I20240510002489 |
| Provider Name | Teresa Delbridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174164248 PECOS PAC ID: 1658706734 Enrollment ID: I20240513002097 |
| Provider Name | Katrina Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033657267 PECOS PAC ID: 6507122132 Enrollment ID: I20240514000052 |
| Provider Name | Andrew Sumarsono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750822094 PECOS PAC ID: 3577980564 Enrollment ID: I20240514001975 |
| Provider Name | Alison Mcgough Holliday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992265581 PECOS PAC ID: 0840632618 Enrollment ID: I20240528003227 |
| Provider Name | Alec Petersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013370568 PECOS PAC ID: 1153618186 Enrollment ID: I20240529000512 |
| Provider Name | Jeffrey Lin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326282716 PECOS PAC ID: 5193978369 Enrollment ID: I20240529003788 |
| Provider Name | Daniel Horn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780903971 PECOS PAC ID: 8224277991 Enrollment ID: I20240530002374 |
| Provider Name | Meghan Mcgrath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689883134 PECOS PAC ID: 9638261241 Enrollment ID: I20240604003489 |
| Provider Name | Jason Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821052242 PECOS PAC ID: 3375532559 Enrollment ID: I20240605002386 |
| Provider Name | Beth Vanairsdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932277514 PECOS PAC ID: 8022028257 Enrollment ID: I20240605002512 |
| Provider Name | Ashley Maieritsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154865178 PECOS PAC ID: 5294019642 Enrollment ID: I20240607003211 |
| Provider Name | Devon Sharkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942693387 PECOS PAC ID: 9436450533 Enrollment ID: I20240608000196 |
| Provider Name | Shana Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265942155 PECOS PAC ID: 6305108473 Enrollment ID: I20240612002420 |
| Provider Name | Maria Mogollon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629676614 PECOS PAC ID: 6709299225 Enrollment ID: I20240620000527 |
| Provider Name | Erin Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467897652 PECOS PAC ID: 8426365438 Enrollment ID: I20240625001537 |
| Provider Name | Palka Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144777830 PECOS PAC ID: 2264728468 Enrollment ID: I20240708003463 |
| Provider Name | Cindy Suthar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750815981 PECOS PAC ID: 6204113194 Enrollment ID: I20240723000619 |
| Provider Name | Alexandrine Pinault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174071971 PECOS PAC ID: 7315226511 Enrollment ID: I20240724002555 |
| Provider Name | Matthew Mendillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467090415 PECOS PAC ID: 8123459773 Enrollment ID: I20240822004691 |
| Provider Name | Maggie Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255870408 PECOS PAC ID: 5092055624 Enrollment ID: I20240828004900 |
| Provider Name | Kerryann Fogarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477032332 PECOS PAC ID: 7517201478 Enrollment ID: I20240905002204 |
| Provider Name | Jenny Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629564380 PECOS PAC ID: 8022366202 Enrollment ID: I20240905003136 |
| Provider Name | Kalee Gresko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780357293 PECOS PAC ID: 9032507082 Enrollment ID: I20240912002511 |
| Provider Name | Rachel Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770058372 PECOS PAC ID: 9537413893 Enrollment ID: I20241001002549 |
| Provider Name | Hannah Mickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427567197 PECOS PAC ID: 5991062242 Enrollment ID: I20241030001577 |
| Provider Name | Brittany Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851844518 PECOS PAC ID: 9830486349 Enrollment ID: I20241030003646 |
| Provider Name | Thomas Koen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801353503 PECOS PAC ID: 0042543274 Enrollment ID: I20241106002041 |
| Provider Name | Andrea Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255953980 PECOS PAC ID: 2264815174 Enrollment ID: I20241107003022 |
| Provider Name | Megan Tyree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356808265 PECOS PAC ID: 4183053382 Enrollment ID: I20241107004218 |
| Provider Name | Amy Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457731127 PECOS PAC ID: 5294043196 Enrollment ID: I20241108002487 |
| Provider Name | Robert Greaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457613390 PECOS PAC ID: 5799929766 Enrollment ID: I20241111000700 |
| Provider Name | Erin Siciliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073220786 PECOS PAC ID: 5597710939 Enrollment ID: I20241113003158 |
| Provider Name | Alannah Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023598307 PECOS PAC ID: 7618228131 Enrollment ID: I20241114003174 |
| Provider Name | Julia Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962763151 PECOS PAC ID: 1658521752 Enrollment ID: I20241121002220 |
| Provider Name | Kristin Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528291861 PECOS PAC ID: 9638216658 Enrollment ID: I20241121002969 |
| Provider Name | Joy King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881078632 PECOS PAC ID: 3870808843 Enrollment ID: I20241121004698 |
| Provider Name | Lauren Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235740259 PECOS PAC ID: 1254744816 Enrollment ID: I20241122001384 |
| Provider Name | Patrick Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851801229 PECOS PAC ID: 6709146715 Enrollment ID: I20241203001702 |
| Provider Name | Miranda Caccamise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831539436 PECOS PAC ID: 3476782095 Enrollment ID: I20241206002988 |
| Provider Name | Heather Crites |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073080594 PECOS PAC ID: 0244563591 Enrollment ID: I20241210003871 |
| Provider Name | Reena Karimpanamannil Alex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639575582 PECOS PAC ID: 5890019129 Enrollment ID: I20241212001441 |
| Provider Name | Kristen Hiatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861915845 PECOS PAC ID: 9032481189 Enrollment ID: I20241212001739 |
| Provider Name | Rebecca Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144861485 PECOS PAC ID: 6901239169 Enrollment ID: I20241213003216 |
| Provider Name | Kevin Mickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801360318 PECOS PAC ID: 1052651544 Enrollment ID: I20241223000987 |
| Provider Name | Brittany Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033551247 PECOS PAC ID: 2365679693 Enrollment ID: I20250107003954 |
| Provider Name | Sabrina Cassidy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366996076 PECOS PAC ID: 5395027510 Enrollment ID: I20250110002004 |
| Provider Name | Haley Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194493262 PECOS PAC ID: 0143667204 Enrollment ID: I20250122002452 |
| Provider Name | Jean Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518242064 PECOS PAC ID: 1557528817 Enrollment ID: I20250423002225 |
American Medical Legal Consultants Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25450 Twickenham Dr, Beachwood, OH 44122 Phone: 216-464-5880 | |
Fatuma Midamba Md Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3619 Park East Dr, 205 S, Beachwood, OH 44122 Phone: 216-591-0942 Fax: 440-834-1902 | |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25700 Science Park Dr Ste 120, Beachwood, OH 44122 Phone: 216-672-0211 | |
Impact Physician Group, Ohio Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23333 Harvard Rd, Beachwood, OH 44122 Phone: 216-593-2200 | |
University Primary Care Practices Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3909 Orange Pl Ste 2500, Beachwood, OH 44122 Phone: 216-383-6776 Fax: 216-383-6745 | |
North East Ohio Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24200 Chagrin Blvd, Beachwood, OH 44122 Phone: 216-831-6466 Fax: 216-766-6083 | |
Id Consultants Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3401 Enterprise Pkwy Ste 110, Beachwood, OH 44122 Phone: 216-448-1060 Fax: 216-450-1031 |