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NPI Code Detail

MEDICARE: CLEVELAND CLINIC NEVADA

MEDICARE: CLEVELAND CLINIC NEVADA
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
1103G00000XClinical Neuropsychologist
2103T00000XPsychologist
31041C0700XClinical Social Worker
42085R0202XDiagnostic Radiology Physician
5225100000XPhysical Therapist
62084N0400XNeurology Physician

General Provider Information

NPI Number : 1538302377
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEVELAND CLINIC NEVADA
Provider Business Mailing Address
First Line : 6801 BRECKSVILLE RD
Second Line : STE 20 ATTN: DPC RK2-7
City : INDEPENDENCE
State : OH
Zip : 44131-5062
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 888 W BONNEVILLE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-0100
Country : US
Telephone Number : 702-263-9797
Fax Number :
Authorized Official
Title or Position : EXECUTIVE VP CHIEF FINANCE OFFICER
Name : DENNIS LARAWAY
Credential :
Telephone Number : 216-445-1343
Provider Enumeration Date : 04/09/2009
Last Update Date : 08/06/2025

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Directions to “CLEVELAND CLINIC NEVADA ” Practice Location

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