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NPI Code Detail

MEDICARE: THE CLEVELAND CLINIC FOUNDATION

MEDICARE: THE CLEVELAND CLINIC FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1154250033
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CLEVELAND CLINIC FOUNDATION
Provider Business Mailing Address
First Line : 6801 BRECKSVILLE RD
Second Line : STE 20 ATTN: DPC RK2-7
City : INDEPEDENCE
State : OH
Zip : 44131-5062
Country : US
Telephone Number : 999-999-9999
Fax Number :
Provider Business Practice Location Address
First Line : 3939 S CLEVELAND MASSILLON RD
Second Line :
City : NORTON
State : OH
Zip : 44203-5611
Country : US
Telephone Number : 216-444-2273
Fax Number :
Authorized Official
Title or Position : EXECUTIVE VP CHIEF FINANCE OFFICE
Name : DENNIS LEE LARAWAY
Credential :
Telephone Number : 216-445-1343
Provider Enumeration Date : 05/16/2026
Last Update Date : 05/16/2026

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Directions to “THE CLEVELAND CLINIC FOUNDATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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