| St Vincent Medical Group | |
|
2351 E 22nd St Cleveland OH 44115-3111 | |
| (216) 363-2730 | |
| Not Available |
| Full Name | St Vincent Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2351 E 22nd St, Cleveland, Ohio |
| Authorized Official Name and Position | John Rusnaczyk (SENIOR VICE PRESIDENT & CFO) |
| Authorized Official Contact | 2163637718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Vincent Medical Group Po Box 932127 Cleveland OH 44193-0008 Ph: () - | St Vincent Medical Group 2351 E 22nd St Cleveland OH 44115-3111 Ph: (216) 363-2730 |
| NPI Number | 1134119829 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 01/13/2021 |
| Medicare PECOS PAC ID | 1153226444 |
|---|---|
| Medicare Enrollment ID | O20031201000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134119829 | NPI | - | NPPES |
| 0251856 | Medicaid | OH |
| Provider Name | Donald Philip Stickney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427059815 PECOS PAC ID: 3779488077 Enrollment ID: I20031201000268 |
| Provider Name | Meyyappan Somasundaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831188168 PECOS PAC ID: 7315846375 Enrollment ID: I20040108000274 |
| Provider Name | Jayanthi Alagarsamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710976089 PECOS PAC ID: 2668372491 Enrollment ID: I20040109000389 |
| Provider Name | Anita Mary Maximin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689624330 PECOS PAC ID: 3072403146 Enrollment ID: I20040319001363 |
| Provider Name | Chingleput Ranganathan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720063761 PECOS PAC ID: 4789671199 Enrollment ID: I20040428000453 |
| Provider Name | Muhammed H Zahra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609842319 PECOS PAC ID: 3274446265 Enrollment ID: I20040503000078 |
| Provider Name | Robert J Steele |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588766653 PECOS PAC ID: 2062401276 Enrollment ID: I20040511001244 |
| Provider Name | Mark S Berkowitz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902858939 PECOS PAC ID: 0840287983 Enrollment ID: I20040930000064 |
| Provider Name | Matthew E Levy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467472837 PECOS PAC ID: 4385613967 Enrollment ID: I20040930000104 |
| Provider Name | Mukul G Pandit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104815554 PECOS PAC ID: 2668422486 Enrollment ID: I20050128000339 |
| Provider Name | Allan O Rosenfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255320750 PECOS PAC ID: 0648220467 Enrollment ID: I20050128000358 |
| Provider Name | Harvey Michael Tucker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598799165 PECOS PAC ID: 5395798508 Enrollment ID: I20050228001078 |
| Provider Name | Kevin E Hoy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639208101 PECOS PAC ID: 2466406533 Enrollment ID: I20050311000764 |
| Provider Name | Vikram K Rao |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881637825 PECOS PAC ID: 9830119841 Enrollment ID: I20051205000698 |
| Provider Name | Louis Keppler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235108119 PECOS PAC ID: 1850283912 Enrollment ID: I20060426000236 |
| Provider Name | Deborah A Blades |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548282791 PECOS PAC ID: 5496701278 Enrollment ID: I20060913000641 |
| Provider Name | Michael J Biscaro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033219779 PECOS PAC ID: 9739186941 Enrollment ID: I20061101000256 |
| Provider Name | Jeffrey F Shall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134106354 PECOS PAC ID: 3476537937 Enrollment ID: I20070110000328 |
| Provider Name | Michael B Canales |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275723769 PECOS PAC ID: 0840387767 Enrollment ID: I20071024000538 |
| Provider Name | Poornanand Palaparty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982704375 PECOS PAC ID: 4385728351 Enrollment ID: I20080228000733 |
| Provider Name | Bernard Nathan Stulberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538120738 PECOS PAC ID: 1153386560 Enrollment ID: I20080418000355 |
| Provider Name | Indukumar M Sonpal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457441867 PECOS PAC ID: 1355405085 Enrollment ID: I20090126000217 |
| Provider Name | James D Brodell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861494817 PECOS PAC ID: 9335291350 Enrollment ID: I20090722000081 |
| Provider Name | John Keith Krebs |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1649256801 PECOS PAC ID: 3072666403 Enrollment ID: I20090803000625 |
| Provider Name | James Anderson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922115385 PECOS PAC ID: 1951446830 Enrollment ID: I20100303000380 |
| Provider Name | Keyvan Ravakhah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346298569 PECOS PAC ID: 3577690015 Enrollment ID: I20100414001005 |
| Provider Name | Cynthia L Aron |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760538755 PECOS PAC ID: 7618074303 Enrollment ID: I20101118000477 |
| Provider Name | Parvez B Khambatta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326126368 PECOS PAC ID: 4587839790 Enrollment ID: I20111215000655 |
| Provider Name | Abu Nasir Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902909500 PECOS PAC ID: 9830082064 Enrollment ID: I20120126000436 |
| Provider Name | Brad M Picha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811020936 PECOS PAC ID: 1658540257 Enrollment ID: I20120806000188 |
| Provider Name | George J Friedhoff |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1043522634 PECOS PAC ID: 3870738545 Enrollment ID: I20130328000593 |
| Provider Name | Jeremy Perse |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811243397 PECOS PAC ID: 8527207711 Enrollment ID: I20130619000420 |
| Provider Name | Duane J Ehredt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396024477 PECOS PAC ID: 2860617685 Enrollment ID: I20140710000369 |
| Provider Name | Mohammed K Mazumder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891935250 PECOS PAC ID: 3779764337 Enrollment ID: I20140908002087 |
| Provider Name | Edward Kilbane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225287410 PECOS PAC ID: 1456527431 Enrollment ID: I20150310001312 |
| Provider Name | Fawad Taj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780816843 PECOS PAC ID: 8022328723 Enrollment ID: I20151109002589 |
| Provider Name | Harikrishna Choudary Ponnam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073922316 PECOS PAC ID: 5193024776 Enrollment ID: I20160503001803 |
| Provider Name | Dawn A Cupach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952840217 PECOS PAC ID: 2668749342 Enrollment ID: I20170531000808 |
| Provider Name | Joseph Fernando Keppler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932627825 PECOS PAC ID: 0648546531 Enrollment ID: I20171020000223 |
| Provider Name | Hasan B Abuamsha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942684477 PECOS PAC ID: 5698020352 Enrollment ID: I20180620002280 |
| Provider Name | Leslie Pristas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194951624 PECOS PAC ID: 2961727797 Enrollment ID: I20180718000962 |
| Provider Name | Mary Wills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497203053 PECOS PAC ID: 3072867167 Enrollment ID: I20181107003229 |
| Provider Name | John Robert Balk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215371562 PECOS PAC ID: 2062712516 Enrollment ID: I20190820004222 |
| Provider Name | Aaron Michael Geissinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255988192 PECOS PAC ID: 3678907433 Enrollment ID: I20200102002533 |
| Provider Name | Staci Ann Cortelezzi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760089411 PECOS PAC ID: 7315367430 Enrollment ID: I20201012001321 |
| Provider Name | Carolyn M Bohm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265908206 PECOS PAC ID: 2769881127 Enrollment ID: I20210604001560 |
| Provider Name | Rajalla Prewitt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770644064 PECOS PAC ID: 1850448440 Enrollment ID: I20210812003218 |
| Provider Name | Erica Lough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316548795 PECOS PAC ID: 5991100737 Enrollment ID: I20210817003698 |
| Provider Name | Alison Jakubowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386137354 PECOS PAC ID: 1254731771 Enrollment ID: I20210928003450 |
Alok Bhaiji, Md, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7055 Engle Rd Ste 503, Cleveland, OH 44130 Phone: 440-816-2556 Fax: 440-816-2557 | |
Good Nature Therapy Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Superior Ave. East, Suite 1618, Cleveland, OH 44114 Phone: 440-836-3838 | |
Northeast Ohio Neighborhood Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13301 Miles Ave, Cleveland, OH 44105 Phone: 216-751-3100 Fax: 216-751-2480 | |
Cleveland State University Health And Wellness Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2121 Euclid Ave, Un 263, Cleveland, OH 44115 Phone: 216-687-3649 Fax: 216-687-9319 | |
Care Alliance Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1530 Saint Clair Ave Ne, Cleveland, OH 44114 Phone: 216-535-9100 Fax: 216-298-5015 | |
Premier Physicians Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2709 Franklin Blvd Fl 2e, Cleveland, OH 44113 Phone: 216-696-4140 | |
University Hospital Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2181 Ambleside Road, Cleveland, OH 44106 Phone: 216-721-1234 |