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MARYMOUNT HOSPITAL
NPI 1043367618
Dietitian, Registered in Cleveland, OH

Active since January 04, 2007CLIA Certified · 2 labs
12300 MCCRACKEN RD, SUITE 211, CLEVELAND, OH 44125(216) 584-4372 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marymount Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYMOUNT HOSPITAL (NPI 1043367618) is a healthcare organization registered as a dietitian, registered in Cleveland, Ohio and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Mike Benich, Controller, as its authorized official.

NPPES Registry Identity

NPI1043367618
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameMARYMOUNT HOSPITAL
Location Address12300 MCCRACKEN RD, SUITE 211Cleveland, OH 44125-2914
Mailing Address12300 Mccracken Rd, Loretto BuildingGarfield Heights, OH 44125-2914 · (216) 581-0500
Phone(216) 584-4372
Organization SubpartNo
Authorized OfficialMike BenichController · (216) 587-8361
Enumeration DateJanuary 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043367618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in OH · 3073
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
12300 MCCRACKEN RD, Cleveland, OH 44125
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0703524

Marymount Hospital Waived · Garfield Heights, OH
Active · expires Aug 31, 2026
CLIA Number36D0703524
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDouglas Kohler
Laboratory Phone(216) 587-8220
Laboratory LocationMarymount Hospital Waived12300 Mccracken Road, Garfield Heights, OH 44125
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 36D0693516

Marymount Hospital Pulmonary Lab · Garfield Heights, OH
Active · expires Jan 12, 2027
CLIA Number36D0693516
Laboratory TypeHospital
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorDr. Debasis Sahoo
Laboratory Phone(216) 581-0500
Laboratory LocationMarymount Hospital Pulmonary Lab12300 Mc Cracken Road Mac1-577, Garfield Heights, OH 44125
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE CLEVELAND CLINIC FOUNDATION
General Practice
12300 MCCRACKEN RD, FL 1
GARFIELD HEIGHTS, OH 44125
Cuyahoga County (216) 444-2273
KAREEM ELDER M.D.
Internal Medicine
12300 MCCRACKEN RD
GARFIELD HTS, OH 44125
Cuyahoga County (216) 581-0500
LEE A NIRO CNP
Nurse Practitioner
12300 MCCRACKEN RD
GARFIELD HTS, OH 44125
Cuyahoga County (216) 581-0500
SANJEEV S KARMARKAR M.D.
Internal Medicine
12300 MCCRACKEN RD
GARFIELD HTS, OH 44125
Cuyahoga County (216) 581-0500
MARK CARR RN
Registered Nurse
12300 MCCRACKEN RD
GARFIELD HTS, OH 44125
Cuyahoga County (216) 587-8198
CLAIRE ALDAN DPT
Physical Therapist
12300 MCCRACKEN RD
GARFIELD HEIGHTS, OH 44125
Cuyahoga County (216) 581-0500
DR. EMMA MARIE HOCKING PHARMD, RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12300 MCCRACKEN RD
GARFIELD HEIGHTS, OH 44125
Cuyahoga County (216) 385-5814
MARYMOUNT HOSPITAL
Pharmacy (Community/Retail Pharmacy)
12300 MCCRACKEN RD
GARFIELD HTS, OH 44125
Cuyahoga County (216) 587-8124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marymount Hospital's NPI number?

The NPI number for Marymount Hospital is 1043367618. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is Marymount Hospital located?

Marymount Hospital is located at 12300 Mccracken Rd Suite 211, Cleveland, OH 44125. The listed phone number is (216) 584-4372.

What is Marymount Hospital's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Does Marymount Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Marymount Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.