| Hni Medical Services Of Ohio, Llc | |
|
18697 Bagley Rd Middleburg Heights OH 44130-3417 | |
| (440) 542-5000 | |
| Not Available |
| Full Name | Hni Medical Services Of Ohio, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18697 Bagley Rd, Middleburg Heights, Ohio |
| Authorized Official Name and Position | Chad Pew (VP OF OPERATIONS) |
| Authorized Official Contact | 5127303060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hni Medical Services Of Ohio, Llc 30575 Bainbridge Rd Ste 200 Cleveland OH 44139-2275 Ph: (440) 542-5000 | Hni Medical Services Of Ohio, Llc 18697 Bagley Rd Middleburg Heights OH 44130-3417 Ph: (440) 542-5000 |
| NPI Number | 1356815922 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 04/29/2025 |
| Medicare PECOS PAC ID | 1759620735 |
|---|---|
| Medicare Enrollment ID | O20190308002704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356815922 | NPI | - | NPPES |
| 033254 | Medicaid | OH |
| Provider Name | Firas Seffo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366440778 PECOS PAC ID: 1658265889 Enrollment ID: I20040210000326 |
| Provider Name | Rafik Massouh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639274038 PECOS PAC ID: 8022092246 Enrollment ID: I20040615001779 |
| Provider Name | Gregory Giles Hickey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457391005 PECOS PAC ID: 6103721972 Enrollment ID: I20040702000845 |
| Provider Name | Lee Donald Zalud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609877893 PECOS PAC ID: 1951389477 Enrollment ID: I20040712000386 |
| Provider Name | Michael Menolasino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063592459 PECOS PAC ID: 5597728998 Enrollment ID: I20041108000029 |
| Provider Name | Adetokunbo O Esho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730139338 PECOS PAC ID: 7012970098 Enrollment ID: I20041110000724 |
| Provider Name | Alexandar Lubomirov Todorinov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003815010 PECOS PAC ID: 3476501008 Enrollment ID: I20050110000993 |
| Provider Name | Alexis Alers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285772079 PECOS PAC ID: 2466344148 Enrollment ID: I20051115001210 |
| Provider Name | Jonathan H Wynbrandt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891807012 PECOS PAC ID: 9032117718 Enrollment ID: I20061113000043 |
| Provider Name | Jie Zang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710048293 PECOS PAC ID: 3870592918 Enrollment ID: I20061219000041 |
| Provider Name | Alicia Ganelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467641324 PECOS PAC ID: 7618059809 Enrollment ID: I20080128000027 |
| Provider Name | Anthony John Muni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164630208 PECOS PAC ID: 4486736014 Enrollment ID: I20080204000701 |
| Provider Name | Aparna Nukala Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255528279 PECOS PAC ID: 7517032063 Enrollment ID: I20080818000373 |
| Provider Name | Victor Kopyev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053390203 PECOS PAC ID: 7113081357 Enrollment ID: I20090203000087 |
| Provider Name | Vijay Kakumanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225225816 PECOS PAC ID: 8921164146 Enrollment ID: I20090312000518 |
| Provider Name | Ronobir R Mallick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760698567 PECOS PAC ID: 1951468057 Enrollment ID: I20090317000194 |
| Provider Name | Shiraz Nisar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972764314 PECOS PAC ID: 9830266535 Enrollment ID: I20090406000337 |
| Provider Name | Russell A Blair |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134314644 PECOS PAC ID: 3577649540 Enrollment ID: I20090707000183 |
| Provider Name | Siamak Ghanbari Rostamabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588801757 PECOS PAC ID: 7214073337 Enrollment ID: I20091002000602 |
| Provider Name | Mark Kaplan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942442967 PECOS PAC ID: 3971634437 Enrollment ID: I20100626000488 |
| Provider Name | Frederick L Morey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033372628 PECOS PAC ID: 1759407141 Enrollment ID: I20100922001020 |
| Provider Name | Anna Michelle Williams-andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447564414 PECOS PAC ID: 1254457344 Enrollment ID: I20100927000432 |
| Provider Name | Elias Issa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538458583 PECOS PAC ID: 2567632441 Enrollment ID: I20110901000245 |
| Provider Name | Michael F Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538320833 PECOS PAC ID: 4284806183 Enrollment ID: I20111019000743 |
| Provider Name | Prakash Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275812497 PECOS PAC ID: 8527232891 Enrollment ID: I20111122000930 |
| Provider Name | Shelley A Burke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013915321 PECOS PAC ID: 0042485799 Enrollment ID: I20111208000590 |
| Provider Name | Earl G Haley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205076544 PECOS PAC ID: 4284894866 Enrollment ID: I20120320000561 |
| Provider Name | Daniel J Greenfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063673002 PECOS PAC ID: 9830350768 Enrollment ID: I20120419000547 |
| Provider Name | Nadira Zrikem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356619068 PECOS PAC ID: 7719141324 Enrollment ID: I20120612000206 |
| Provider Name | Ekundayo E Bolaji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710298609 PECOS PAC ID: 0749436186 Enrollment ID: I20120817000189 |
| Provider Name | Mushtaq Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497733075 PECOS PAC ID: 9032130554 Enrollment ID: I20120820001195 |
| Provider Name | Bledar Kovaci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447493002 PECOS PAC ID: 4789831900 Enrollment ID: I20120823000286 |
| Provider Name | Valerie Erdman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598083628 PECOS PAC ID: 3476702002 Enrollment ID: I20120925000711 |
| Provider Name | Khaled Almoselli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346497823 PECOS PAC ID: 7517135924 Enrollment ID: I20121226000437 |
| Provider Name | Autumn Lee White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992967467 PECOS PAC ID: 4486807716 Enrollment ID: I20130116000428 |
| Provider Name | Oludamilola O Ogunlesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407054331 PECOS PAC ID: 7315038031 Enrollment ID: I20130214000234 |
| Provider Name | Samer M Abubakr |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235260464 PECOS PAC ID: 4880689140 Enrollment ID: I20130315000350 |
| Provider Name | Lisa M Dials |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609113133 PECOS PAC ID: 5092951004 Enrollment ID: I20130418000031 |
| Provider Name | Nicholas L Pesa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942465224 PECOS PAC ID: 5496993925 Enrollment ID: I20130522000734 |
| Provider Name | Olumuyiwa Sowunmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235454414 PECOS PAC ID: 6709020829 Enrollment ID: I20130911000479 |
| Provider Name | Justin J Crivelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134426398 PECOS PAC ID: 4082848296 Enrollment ID: I20131001000354 |
| Provider Name | Ghasem Ashelfah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205149408 PECOS PAC ID: 2264667195 Enrollment ID: I20131031001628 |
| Provider Name | Melissa L Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548697683 PECOS PAC ID: 7012142524 Enrollment ID: I20131108000180 |
| Provider Name | Linda M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104253665 PECOS PAC ID: 7810125671 Enrollment ID: I20140124001221 |
| Provider Name | Jabulani Sidile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164650743 PECOS PAC ID: 9830312842 Enrollment ID: I20140520001952 |
| Provider Name | Naveen Gopal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346479623 PECOS PAC ID: 7416105218 Enrollment ID: I20140808002108 |
| Provider Name | Bassem Zraik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548542491 PECOS PAC ID: 5597982645 Enrollment ID: I20140813001194 |
| Provider Name | Naeem M Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588982383 PECOS PAC ID: 3173766227 Enrollment ID: I20141105001531 |
| Provider Name | Vlad Apostol |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629334669 PECOS PAC ID: 7315264066 Enrollment ID: I20150318000787 |
| Provider Name | Amir Naraghi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255752101 PECOS PAC ID: 6800115668 Enrollment ID: I20150430000223 |
| Provider Name | Marwah Farooqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497011266 PECOS PAC ID: 4486966819 Enrollment ID: I20150626001713 |
| Provider Name | Neil S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932523248 PECOS PAC ID: 9436461951 Enrollment ID: I20150710002190 |
| Provider Name | Lauren M Walter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144587148 PECOS PAC ID: 2668605700 Enrollment ID: I20151021002420 |
| Provider Name | Fazel Dinary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912347360 PECOS PAC ID: 8820397383 Enrollment ID: I20160504001949 |
| Provider Name | Jessica Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568829059 PECOS PAC ID: 0345539490 Enrollment ID: I20160513000481 |
| Provider Name | Fahad Bin Zulfiqar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194144840 PECOS PAC ID: 0648560458 Enrollment ID: I20160607002421 |
| Provider Name | Muhammad Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649610114 PECOS PAC ID: 5496047029 Enrollment ID: I20160630000524 |
| Provider Name | Leela K Kolluru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578904900 PECOS PAC ID: 4981848975 Enrollment ID: I20160719002438 |
| Provider Name | Buthayna Alkhatib Dinary |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902245087 PECOS PAC ID: 9133412166 Enrollment ID: I20160727002673 |
| Provider Name | Brian W Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679864003 PECOS PAC ID: 4981826807 Enrollment ID: I20160817003335 |
| Provider Name | Nishit P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750720827 PECOS PAC ID: 0042513137 Enrollment ID: I20160822001408 |
| Provider Name | Hao Luong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699198234 PECOS PAC ID: 8729386479 Enrollment ID: I20160919002425 |
| Provider Name | Safwan Khader |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144501594 PECOS PAC ID: 1456579937 Enrollment ID: I20161108000870 |
| Provider Name | Junyang Gong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801021183 PECOS PAC ID: 6406135763 Enrollment ID: I20161109002704 |
| Provider Name | Yazid Hussein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407275027 PECOS PAC ID: 9234439696 Enrollment ID: I20161116002365 |
| Provider Name | Rohit M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275976342 PECOS PAC ID: 6800023888 Enrollment ID: I20161129001046 |
| Provider Name | Deepak G Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841611944 PECOS PAC ID: 4183904063 Enrollment ID: I20161212000836 |
| Provider Name | Cole D Sedar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871932806 PECOS PAC ID: 8729368576 Enrollment ID: I20161213001443 |
| Provider Name | Jessica M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669923207 PECOS PAC ID: 7911288501 Enrollment ID: I20161219001544 |
| Provider Name | Mohammed Salman Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922361773 PECOS PAC ID: 5496986747 Enrollment ID: I20170104001456 |
| Provider Name | Junling Dong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225449069 PECOS PAC ID: 2163728312 Enrollment ID: I20170118002830 |
| Provider Name | Ketura Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821229378 PECOS PAC ID: 0648555698 Enrollment ID: I20170314001604 |
| Provider Name | Kafilat Kelani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447796750 PECOS PAC ID: 5395021497 Enrollment ID: I20170403002642 |
| Provider Name | Dalia Shibeika |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831486711 PECOS PAC ID: 3577877596 Enrollment ID: I20170421001303 |
| Provider Name | Nakisha Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881129187 PECOS PAC ID: 4486921186 Enrollment ID: I20170601000108 |
| Provider Name | Hillor Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922449529 PECOS PAC ID: 4385922632 Enrollment ID: I20170710002571 |
| Provider Name | Afshan Z Mohiuddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477808053 PECOS PAC ID: 9234449240 Enrollment ID: I20170907003263 |
| Provider Name | Heather Kuo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073933081 PECOS PAC ID: 0749599603 Enrollment ID: I20170915001922 |
| Provider Name | Jonathan D Kanam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679988166 PECOS PAC ID: 0648497743 Enrollment ID: I20170927002797 |
| Provider Name | Yacoub Baghdy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194135475 PECOS PAC ID: 0345546826 Enrollment ID: I20171004002570 |
| Provider Name | Naveen Chatha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447679931 PECOS PAC ID: 8820398241 Enrollment ID: I20171010003046 |
| Provider Name | Angel Marie Delphia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104345511 PECOS PAC ID: 1951362656 Enrollment ID: I20171115003329 |
| Provider Name | Lisa Meek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710400486 PECOS PAC ID: 9931465473 Enrollment ID: I20171120003545 |
| Provider Name | Amy J Longstreet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639688260 PECOS PAC ID: 3375802937 Enrollment ID: I20180108000219 |
| Provider Name | Jason Adam Gregorin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972982726 PECOS PAC ID: 3678877073 Enrollment ID: I20180122001806 |
| Provider Name | Phalgoon Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821409319 PECOS PAC ID: 6507137312 Enrollment ID: I20180124003286 |
| Provider Name | Laura Lynn Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679091318 PECOS PAC ID: 7517229073 Enrollment ID: I20180320003472 |
| Provider Name | Nana Yaa A Koram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518349885 PECOS PAC ID: 7214291756 Enrollment ID: I20180508002673 |
| Provider Name | Sarah Louise Pelfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538656533 PECOS PAC ID: 4486918885 Enrollment ID: I20180511001457 |
| Provider Name | Kamran Adibi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033587910 PECOS PAC ID: 2860748175 Enrollment ID: I20180628002249 |
| Provider Name | Nicole E Pentito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285123489 PECOS PAC ID: 6800142480 Enrollment ID: I20180712001072 |
| Provider Name | Brittany Cherise Baughman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407234677 PECOS PAC ID: 2668777178 Enrollment ID: I20180808003296 |
| Provider Name | Jacob Scharlotte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619357084 PECOS PAC ID: 4082906250 Enrollment ID: I20180813002534 |
| Provider Name | Venkata Chaithanya Kumar Sunkesula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730560160 PECOS PAC ID: 1456643501 Enrollment ID: I20181022002804 |
| Provider Name | Kyle Thomas Cleveland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073969275 PECOS PAC ID: 2769776822 Enrollment ID: I20181105001326 |
| Provider Name | Krystyna Northeim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376028209 PECOS PAC ID: 5597009266 Enrollment ID: I20181206001894 |
| Provider Name | Nicoletto Bolzan-roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770050049 PECOS PAC ID: 1658617337 Enrollment ID: I20190117000864 |
| Provider Name | Mary Kathleen Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871077032 PECOS PAC ID: 2860731502 Enrollment ID: I20190225001946 |
| Provider Name | Chloe Castro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114360369 PECOS PAC ID: 2769618677 Enrollment ID: I20190320002233 |
| Provider Name | Kanika Ahuja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124415781 PECOS PAC ID: 0547523821 Enrollment ID: I20190416001664 |
| Provider Name | Kevin Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770947707 PECOS PAC ID: 4082908264 Enrollment ID: I20190422001959 |
| Provider Name | Angel Amado Lazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518329754 PECOS PAC ID: 8921340167 Enrollment ID: I20190508001877 |
| Provider Name | James P Cappello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134574304 PECOS PAC ID: 6305170994 Enrollment ID: I20190702001663 |
| Provider Name | Anoop Gurram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447607262 PECOS PAC ID: 8628302106 Enrollment ID: I20190703001484 |
| Provider Name | Neal Majumdar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508228693 PECOS PAC ID: 3577856152 Enrollment ID: I20190726002041 |
| Provider Name | Kaitlyn C Korn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801242177 PECOS PAC ID: 0840582862 Enrollment ID: I20190726002241 |
| Provider Name | Emily F Chau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477915122 PECOS PAC ID: 4183997273 Enrollment ID: I20190905001010 |
| Provider Name | Margo Jane Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487000642 PECOS PAC ID: 8426340696 Enrollment ID: I20190910002145 |
| Provider Name | Matthew J Steinlage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023470077 PECOS PAC ID: 8224322441 Enrollment ID: I20190918001375 |
| Provider Name | Nana Bonsu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205288610 PECOS PAC ID: 7012247703 Enrollment ID: I20190923002579 |
| Provider Name | Dianna L Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932752037 PECOS PAC ID: 3870509771 Enrollment ID: I20191015003694 |
| Provider Name | Shanon Lee Mekesa Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043781925 PECOS PAC ID: 6901137181 Enrollment ID: I20191021000805 |
| Provider Name | Angela A Shay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619535150 PECOS PAC ID: 3870926207 Enrollment ID: I20191125003137 |
| Provider Name | Christina M Maley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710532296 PECOS PAC ID: 8527492313 Enrollment ID: I20200103000882 |
| Provider Name | Nishanthika Navaratnarajah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104165620 PECOS PAC ID: 5193038768 Enrollment ID: I20200124000587 |
| Provider Name | Malathi Amarnath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225585748 PECOS PAC ID: 6305108978 Enrollment ID: I20200204001733 |
| Provider Name | Jennifer Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285277731 PECOS PAC ID: 9234565094 Enrollment ID: I20200214001512 |
| Provider Name | Jonathan Preston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912327248 PECOS PAC ID: 3375830250 Enrollment ID: I20200217004919 |
| Provider Name | Nabil Zuhayr Madhun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144682469 PECOS PAC ID: 4981998507 Enrollment ID: I20200410002177 |
| Provider Name | Wanda Galvan Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578103354 PECOS PAC ID: 9830529940 Enrollment ID: I20200413003089 |
| Provider Name | Curtis Ingold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487153185 PECOS PAC ID: 3274881313 Enrollment ID: I20200421000945 |
| Provider Name | Scott M Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518593730 PECOS PAC ID: 5991126526 Enrollment ID: I20200605001314 |
| Provider Name | Anthony Miniaci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679073001 PECOS PAC ID: 4789930843 Enrollment ID: I20200810001734 |
| Provider Name | Johnna Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144843673 PECOS PAC ID: 6103244942 Enrollment ID: I20200921000084 |
| Provider Name | Daniel R O'brien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134578479 PECOS PAC ID: 8729370887 Enrollment ID: I20201007000336 |
| Provider Name | Pranay Soni |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184010225 PECOS PAC ID: 2264735331 Enrollment ID: I20201012001499 |
| Provider Name | Alisha Howland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992306633 PECOS PAC ID: 8527470731 Enrollment ID: I20201211002285 |
| Provider Name | Zhenyu Tony Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902396526 PECOS PAC ID: 8325452733 Enrollment ID: I20210126003018 |
| Provider Name | Matthew Clinton Dyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497259451 PECOS PAC ID: 2163778580 Enrollment ID: I20210629001965 |
| Provider Name | Apoorva K Chandar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205330982 PECOS PAC ID: 4385976729 Enrollment ID: I20210630004105 |
| Provider Name | Alla Trokhimenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932780228 PECOS PAC ID: 8628470093 Enrollment ID: I20210707002452 |
| Provider Name | Meri Elizabeth Ferrari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194306316 PECOS PAC ID: 5193127256 Enrollment ID: I20210712002692 |
| Provider Name | Tochukwu Nzeako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982107595 PECOS PAC ID: 6305249798 Enrollment ID: I20210722002145 |
| Provider Name | Selamawit Teshome Abeibie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477042117 PECOS PAC ID: 5890030118 Enrollment ID: I20210909002489 |
| Provider Name | Ryan Henry Platzbecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720474323 PECOS PAC ID: 2769782895 Enrollment ID: I20210913002408 |
| Provider Name | Jody Laine Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740635903 PECOS PAC ID: 1456600402 Enrollment ID: I20210913002478 |
| Provider Name | David James Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457739310 PECOS PAC ID: 0143627786 Enrollment ID: I20210923001784 |
| Provider Name | Chirag Labhubhai Kher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770080525 PECOS PAC ID: 0648526764 Enrollment ID: I20211008001192 |
| Provider Name | Patricia K Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700548344 PECOS PAC ID: 5395134290 Enrollment ID: I20211115002879 |
| Provider Name | Amy Lynn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568126738 PECOS PAC ID: 3870982333 Enrollment ID: I20211123000742 |
| Provider Name | Albert C Flowers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558656264 PECOS PAC ID: 6204073711 Enrollment ID: I20220118002577 |
| Provider Name | Oanh Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952676108 PECOS PAC ID: 2264715192 Enrollment ID: I20220303000455 |
| Provider Name | Obaydah Massad Daromar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891223962 PECOS PAC ID: 9830576263 Enrollment ID: I20220524001475 |
| Provider Name | Linda Obika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194336644 PECOS PAC ID: 8123437118 Enrollment ID: I20220527001171 |
| Provider Name | Maria Roidan Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326790924 PECOS PAC ID: 7012396484 Enrollment ID: I20220615003208 |
| Provider Name | Alicia Mohamed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528603693 PECOS PAC ID: 6709210214 Enrollment ID: I20220622003203 |
| Provider Name | Kim Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891813572 PECOS PAC ID: 1951781251 Enrollment ID: I20220705001031 |
| Provider Name | Timothy James Immonen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730614793 PECOS PAC ID: 1254724610 Enrollment ID: I20220709000317 |
| Provider Name | Kayla R Hukill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124758354 PECOS PAC ID: 1052792231 Enrollment ID: I20220719002864 |
| Provider Name | Nina Lum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518217546 PECOS PAC ID: 9436466950 Enrollment ID: I20220725002362 |
| Provider Name | Shawn J Warner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730677782 PECOS PAC ID: 9335491927 Enrollment ID: I20220729002192 |
| Provider Name | Maryem Rafiq Lodhra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457857708 PECOS PAC ID: 5193062776 Enrollment ID: I20220824001236 |
| Provider Name | Oliver Darzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427554674 PECOS PAC ID: 6507112729 Enrollment ID: I20220825001976 |
| Provider Name | Nelroy G Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437686268 PECOS PAC ID: 9133504798 Enrollment ID: I20220916003237 |
| Provider Name | Naman Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558927749 PECOS PAC ID: 5991031031 Enrollment ID: I20221004001822 |
| Provider Name | Tahereh Orouji Jokar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750944542 PECOS PAC ID: 3678959996 Enrollment ID: I20221010002183 |
| Provider Name | Fadi Asfahan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649653700 PECOS PAC ID: 1355635277 Enrollment ID: I20221020003079 |
| Provider Name | Kellee Lorraine Randle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932449055 PECOS PAC ID: 1850533274 Enrollment ID: I20221027002715 |
| Provider Name | Angela Borisov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831806330 PECOS PAC ID: 3971973801 Enrollment ID: I20230110001308 |
| Provider Name | Jordan Thomas Hyland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770111700 PECOS PAC ID: 8224450135 Enrollment ID: I20230715000493 |
| Provider Name | Jessica F Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326676297 PECOS PAC ID: 5890198402 Enrollment ID: I20230717002299 |
| Provider Name | Adebanke Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528206109 PECOS PAC ID: 6204016520 Enrollment ID: I20240207003928 |
| Provider Name | Alexander Kumar Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154881290 PECOS PAC ID: 2466890231 Enrollment ID: I20240329002535 |
| Provider Name | Arpan Karki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033780812 PECOS PAC ID: 1658773965 Enrollment ID: I20240521002859 |
| Provider Name | Gabrielle Repko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295598829 PECOS PAC ID: 5890137400 Enrollment ID: I20240529000873 |
| Provider Name | Mohamad Akil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992382261 PECOS PAC ID: 8820430267 Enrollment ID: I20240530001532 |
| Provider Name | Jessica R Hollenbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780262527 PECOS PAC ID: 2466854336 Enrollment ID: I20240919000385 |
| Provider Name | Joseph Kofi Amoah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093398877 PECOS PAC ID: 6800329723 Enrollment ID: I20241031000894 |
| Provider Name | Rahul Mabbu Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053845214 PECOS PAC ID: 7719258854 Enrollment ID: I20241115003688 |
| Provider Name | Raquel Marie Dominico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134944002 PECOS PAC ID: 4385174788 Enrollment ID: I20250214001839 |
Sandra M Berglund, Do, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18660 Bagley Rd, Building 1, Suite 201, Middleburg Heights, OH 44130 Phone: 440-239-9077 Fax: 440-239-9080 | |
Westshore Primary Care Assoc., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7215 Old Oak Blvd, Suite A420, Middleburg Heights, OH 44130 Phone: 440-816-5816 Fax: 440-243-4819 | |
North East Ohio Group Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-542-5000 Fax: 440-542-5005 | |
Southwest General Medical Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7225 Old Oak Blvd Ste A210, Middleburg Heights, OH 44130 Phone: 440-816-2750 | |
Cleveland Clinic Children's Hospital For Rehabilitation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17800 Jefferson Park Rd, Ste 101, Middleburg Heights, OH 44130 Phone: 216-444-2273 | |
Westside Gastroenterologists, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7255 Old Oak Blvd, Suite C412, Middleburg Heights, OH 44130 Phone: 440-816-4546 Fax: 440-816-4549 | |
Robert J Keating Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16500 W Sprague Rd Ste B, Middleburg Heights, OH 44130 Phone: 440-403-9260 Fax: 440-403-9280 |