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
1	174400000X	Specialist	35-07-2305-K	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548251689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CLEVELAND CLINIC FOUNDATION

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE
Second Line	:	A 41
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-445-3834
Fax Number	:	216-445-6255

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:	A 41
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-445-3834
Fax Number	:	216-445-6255

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DANIEL MEDVE
Credential	:
Telephone Number	:	216-973-3321

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	01/06/2022

Similar Medicare Providers

1972446219 — MATTHEW KAMARA MD, DPM
Practice Location Address:

9500 EUCLID AVE # JJ24
CLEVELAND, OH
44195-0001

Practice Phone: 216-444-2200
Practice Fax:

1013850361 — DR. GUIDO ASCIONE MD
Practice Location Address:

9500 EUCLID AVE # JJ24
CLEVELAND, OH
44195-0001

Practice Phone: 216-444-2200
Practice Fax:

1467395665 — SHRAVAN GOWRISHANKAR
Practice Location Address:

9500 EUCLID AVE # JJ24
CLEVELAND, OH
44195-0001

Practice Phone: 216-444-2200
Practice Fax:

1881304798 — RENA TRUSNIK M.A., CCC-SLP
Practice Location Address:

9500 EUCLID AVE
CLEVELAND, OH
44195-0001

Practice Phone: 216-445-9286
Practice Fax:

1205352424 — SHANA RUTH GOLDSTEIN-PTAHIA CNM
Practice Location Address:

9500 EUCLID AVE
CLEVELAND, OH
44195-0001

Practice Phone: 800-223-2273
Practice Fax:

1700445236 — RAJALAKSHMI GOVALAN MD,MS,MSHS
Practice Location Address:

9500 EUCLID AVE # JJ24
CLEVELAND, OH
44195-0001

Practice Phone: 216-444-2200
Practice Fax:

1831639095 — JOHN TENNEY APRN
Practice Location Address:

9500 EUCLID AVE
CLEVELAND, OH
44195-0001

Practice Phone: 216-444-2200
Practice Fax:

Directions to “THE CLEVELAND CLINIC FOUNDATION ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.