MEDICARE: ACCESS HEALTHCARE CLINIC LLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1942168356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS HEALTHCARE CLINIC LLC

Provider Business Mailing Address
First Line	:	PO BOX 770204
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-0017
Country	:	US
Telephone Number	:	216-300-9645
Fax Number	:

Provider Business Practice Location Address
First Line	:	9701 BROOKPARK RD STE 236
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-6824
Country	:	US
Telephone Number	:	216-300-9645
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	NURAT ADIGUN
Credential	:	APRN
Telephone Number	:	440-494-4914

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	03/10/2026

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