| Spry Healthcare Llc | |
|
811 Prospect Ave E Ste 200 Cleveland OH 44115-1111 | |
| (216) 957-7779 | |
| Not Available |
| Full Name | Spry Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 811 Prospect Ave E Ste 200, Cleveland, Ohio |
| Authorized Official Name and Position | Patricia A Gallagher (DIRECTOR, PROFESSINAL AFFAIRS) |
| Authorized Official Contact | 2167785790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spry Healthcare Llc 811 Prospect Ave E Ste 200 Cleveland OH 44115-1111 Ph: (216) 957-7779 | Spry Healthcare Llc 811 Prospect Ave E Ste 200 Cleveland OH 44115-1111 Ph: (216) 957-7779 |
| NPI Number | 1699392084 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 09/09/2021 |
| Medicare PECOS PAC ID | 9335546399 |
|---|---|
| Medicare Enrollment ID | O20210920000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699392084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Denise R H Mohar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720067614 PECOS PAC ID: 3274434477 Enrollment ID: I20040120000558 |
| Provider Name | Kathleen P Quealy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538240528 PECOS PAC ID: 9234273145 Enrollment ID: I20100216000476 |
| Provider Name | Aleksandr Rovner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437125267 PECOS PAC ID: 7810905510 Enrollment ID: I20100712000001 |
| Provider Name | Raisa A Lerner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366655243 PECOS PAC ID: 6507964947 Enrollment ID: I20101101000682 |
| Provider Name | Kristen G Cornes Ribadas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871803429 PECOS PAC ID: 9931396934 Enrollment ID: I20101202001072 |
| Provider Name | Lauren Obyrne Gopal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558704494 PECOS PAC ID: 7719113554 Enrollment ID: I20170706003317 |
| Provider Name | Aisha Siraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710232582 PECOS PAC ID: 2062728322 Enrollment ID: I20190719000244 |
| Provider Name | Changsu Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518453992 PECOS PAC ID: 5294083903 Enrollment ID: I20210709000700 |
| Provider Name | Mohamed Farhan M. Nasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154717189 PECOS PAC ID: 7911208400 Enrollment ID: I20220623000986 |
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