| Mills Medical Practices, Llc | |
|
3737 Park East Dr Ste 220 Beachwood OH 44122-4347 | |
| (800) 807-6555 | |
| (855) 453-5010 |
| Full Name | Mills Medical Practices, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3737 Park East Dr Ste 220, Beachwood, Ohio |
| Authorized Official Name and Position | William Mills (PRESIDENT) |
| Authorized Official Contact | 8008660860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mills Medical Practices, Llc 805 N Whittington Pkwy Ste 400 Louisville KY 40222-7102 Ph: (800) 866-0860 | Mills Medical Practices, Llc 3737 Park East Dr Ste 220 Beachwood OH 44122-4347 Ph: (800) 807-6555 |
| NPI Number | 1477701969 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 03/03/2025 |
| Medicare PECOS PAC ID | 4981767597 |
|---|---|
| Medicare Enrollment ID | O20090108000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477701969 | NPI | - | NPPES |
| 3072482 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35083334 (Ohio) | Primary |
| Provider Name | Larita Linette Frazier Obannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588694541 PECOS PAC ID: 6002709920 Enrollment ID: I20040204001080 |
| Provider Name | Alexis D Parks Myton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487664744 PECOS PAC ID: 5698726479 Enrollment ID: I20050209000511 |
| Provider Name | Donna Kuta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952354391 PECOS PAC ID: 8921015876 Enrollment ID: I20060317000003 |
| Provider Name | Amanda E Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154341741 PECOS PAC ID: 7517970981 Enrollment ID: I20060802000009 |
| Provider Name | David L Anstadt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750358081 PECOS PAC ID: 6507866183 Enrollment ID: I20070104000318 |
| Provider Name | Alexander Beylinson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1225073539 PECOS PAC ID: 8224045224 Enrollment ID: I20070206000469 |
| Provider Name | Phyllis J Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992849509 PECOS PAC ID: 4284738121 Enrollment ID: I20070402000531 |
| Provider Name | Mary Montemayor Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831191006 PECOS PAC ID: 5395840896 Enrollment ID: I20070411000383 |
| Provider Name | Janet Marie Buccola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144283250 PECOS PAC ID: 2062508542 Enrollment ID: I20071015000000 |
| Provider Name | William R Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215140587 PECOS PAC ID: 9133295488 Enrollment ID: I20080910000295 |
| Provider Name | Cheryl Dunlap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801046065 PECOS PAC ID: 3870650096 Enrollment ID: I20090316000114 |
| Provider Name | Swee Foong Ng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619182193 PECOS PAC ID: 8426101577 Enrollment ID: I20090806000559 |
| Provider Name | Kristina A Klosterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588801120 PECOS PAC ID: 0244376135 Enrollment ID: I20091007000132 |
| Provider Name | Cynthia K Flynn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962595033 PECOS PAC ID: 9931002813 Enrollment ID: I20091013000689 |
| Provider Name | Angela Boudouris Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659608719 PECOS PAC ID: 7618017914 Enrollment ID: I20091217000379 |
| Provider Name | Laura A Leuenberger-banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679807911 PECOS PAC ID: 7113068156 Enrollment ID: I20100113000002 |
| Provider Name | Deborah Mulquin-peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073846671 PECOS PAC ID: 3678615796 Enrollment ID: I20100127000472 |
| Provider Name | Richard Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881716777 PECOS PAC ID: 4789713900 Enrollment ID: I20100526001101 |
| Provider Name | Mary Painter-romanello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285957944 PECOS PAC ID: 4082743026 Enrollment ID: I20100601000123 |
| Provider Name | Jane Diane Morford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710066030 PECOS PAC ID: 9739199365 Enrollment ID: I20110204000258 |
| Provider Name | Kwei Akuete |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316143639 PECOS PAC ID: 9638353154 Enrollment ID: I20110407000568 |
| Provider Name | Chamille Angela Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760750962 PECOS PAC ID: 0244499408 Enrollment ID: I20120307000188 |
| Provider Name | Jennell L Borys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396029658 PECOS PAC ID: 4183885221 Enrollment ID: I20120417000071 |
| Provider Name | Susanne F Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891082475 PECOS PAC ID: 0749439826 Enrollment ID: I20121004000594 |
| Provider Name | Kenneth R Bryner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548694557 PECOS PAC ID: 7214171149 Enrollment ID: I20130916000602 |
| Provider Name | Ingrid M Hendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144655952 PECOS PAC ID: 6002041985 Enrollment ID: I20131030001803 |
| Provider Name | Mary A Thiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205964038 PECOS PAC ID: 4486880861 Enrollment ID: I20131112002110 |
| Provider Name | Keiko Honda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396163705 PECOS PAC ID: 1254554124 Enrollment ID: I20140521001774 |
| Provider Name | Ama Nkyima Nuamah |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1225316276 PECOS PAC ID: 2668696493 Enrollment ID: I20140617000931 |
| Provider Name | Caroletta James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497914014 PECOS PAC ID: 6901971522 Enrollment ID: I20140804001632 |
| Provider Name | Taryn Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922407097 PECOS PAC ID: 3577885474 Enrollment ID: I20141203002555 |
| Provider Name | Uchenna J Anaje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184012064 PECOS PAC ID: 4183943426 Enrollment ID: I20150507001394 |
| Provider Name | Sherry L Flannery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174948129 PECOS PAC ID: 7517181415 Enrollment ID: I20150526001526 |
| Provider Name | Kimberly Anne Ondash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841613791 PECOS PAC ID: 6800105800 Enrollment ID: I20151013002319 |
| Provider Name | Cecelia M Vest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134592678 PECOS PAC ID: 7911207170 Enrollment ID: I20151120000442 |
| Provider Name | Corrie Nemeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922553254 PECOS PAC ID: 6406135755 Enrollment ID: I20161109002268 |
| Provider Name | Kari A Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346797685 PECOS PAC ID: 7810270295 Enrollment ID: I20170208002895 |
| Provider Name | Nancy Odita-honnah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548702434 PECOS PAC ID: 8921381898 Enrollment ID: I20170220002245 |
| Provider Name | Melinda K Everman-moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376077370 PECOS PAC ID: 7517234537 Enrollment ID: I20170523002157 |
| Provider Name | Lori Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518493410 PECOS PAC ID: 8426324195 Enrollment ID: I20171024003119 |
| Provider Name | Lavada Tillie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184133142 PECOS PAC ID: 7315213022 Enrollment ID: I20171025001070 |
| Provider Name | Rockzine Ngwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609305432 PECOS PAC ID: 8729346960 Enrollment ID: I20171218001853 |
| Provider Name | Kathryn Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922506211 PECOS PAC ID: 8325309032 Enrollment ID: I20180220002784 |
| Provider Name | Sherry M Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952804437 PECOS PAC ID: 8628330024 Enrollment ID: I20180323000550 |
| Provider Name | Susan Dover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700389038 PECOS PAC ID: 2769747526 Enrollment ID: I20180525001181 |
| Provider Name | Sobia Saleem Chaudhry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700312766 PECOS PAC ID: 7012262249 Enrollment ID: I20180612001622 |
| Provider Name | Omar Ramos Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922594167 PECOS PAC ID: 9638427396 Enrollment ID: I20180813001788 |
| Provider Name | Abraham O Kuranga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418237 PECOS PAC ID: 0749579878 Enrollment ID: I20181010003436 |
| Provider Name | Falisha L Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518300508 PECOS PAC ID: 7911266168 Enrollment ID: I20181127002490 |
| Provider Name | Alison L Dubasak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053887166 PECOS PAC ID: 3971840109 Enrollment ID: I20190125003018 |
| Provider Name | Brittany Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073083101 PECOS PAC ID: 5294073276 Enrollment ID: I20190218001130 |
| Provider Name | Anna M Gaal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063645448 PECOS PAC ID: 8325387848 Enrollment ID: I20190228000675 |
| Provider Name | Rebecca Lewis-sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366910085 PECOS PAC ID: 2860733797 Enrollment ID: I20190403000329 |
| Provider Name | Bridget Rubel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639641640 PECOS PAC ID: 5597098798 Enrollment ID: I20190603001713 |
| Provider Name | Aimee Breetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043840531 PECOS PAC ID: 4688000474 Enrollment ID: I20200215000109 |
| Provider Name | Miranda Huffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376662833 PECOS PAC ID: 8325194590 Enrollment ID: I20210113003045 |
| Provider Name | Stacie L Laurence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063037828 PECOS PAC ID: 5395159453 Enrollment ID: I20210201001578 |
| Provider Name | Alayna Mechelle Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194924050 PECOS PAC ID: 5799190807 Enrollment ID: I20210224000268 |
| Provider Name | Emery Joseph Woodward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467045799 PECOS PAC ID: 4284041906 Enrollment ID: I20210325000714 |
| Provider Name | Michelle Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629733787 PECOS PAC ID: 0345630802 Enrollment ID: I20211124001634 |
| Provider Name | Brooke Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114274883 PECOS PAC ID: 3173913647 Enrollment ID: I20211124002013 |
| Provider Name | Jessica Maag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740821297 PECOS PAC ID: 9830521384 Enrollment ID: I20220420003181 |
| Provider Name | Kimberly Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245670116 PECOS PAC ID: 6406099365 Enrollment ID: I20220915001668 |
| Provider Name | Inez Elisa Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689038010 PECOS PAC ID: 0244525848 Enrollment ID: I20220921001067 |
| Provider Name | Leonard Joseph Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023574605 PECOS PAC ID: 6103168091 Enrollment ID: I20221012000717 |
| Provider Name | Lisa Brannack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174096887 PECOS PAC ID: 5890164636 Enrollment ID: I20221216002146 |
| Provider Name | Michaelle Dubuisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891113387 PECOS PAC ID: 3971926338 Enrollment ID: I20230118002434 |
| Provider Name | Victoria Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770298416 PECOS PAC ID: 0042683112 Enrollment ID: I20230310001852 |
| Provider Name | Jennifer Blaise Cinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538520051 PECOS PAC ID: 8921350109 Enrollment ID: I20230512000656 |
| Provider Name | Marissa Elizabeth Midgley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265216774 PECOS PAC ID: 9931554367 Enrollment ID: I20231004003499 |
| Provider Name | Erin Kaye Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023653029 PECOS PAC ID: 6204283872 Enrollment ID: I20231103003037 |
| Provider Name | Mary D Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942780325 PECOS PAC ID: 7012364573 Enrollment ID: I20231106002811 |
| Provider Name | Abigail Canonico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831795137 PECOS PAC ID: 9032654108 Enrollment ID: I20240712002214 |
| Provider Name | Hallie Elizabeth Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639998594 PECOS PAC ID: 6608300595 Enrollment ID: I20241114003348 |
| Provider Name | Julianne R Gicei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053062026 PECOS PAC ID: 8729518550 Enrollment ID: I20250210001877 |
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 |