Healthcare Provider Details
I. General information
NPI: 1801029749
Provider Name (Legal Business Name): CARDIOLOGY ASSOCIATES OF CLEVELAND, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2009
Last Update Date: 08/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12000 MCCRACKEN RD
GARFIELD HTS OH
44125-2964
US
IV. Provider business mailing address
4509 S HILLS DR
CLEVELAND OH
44109-4423
US
V. Phone/Fax
- Phone: 216-475-5370
- Fax: 216-475-5125
- Phone: 216-351-9387
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
CINDY
SCHUMACHER
Title or Position: MSN, NP-C
Credential: MSN
Phone: 216-351-9387