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CUYAHOGA PHYSICIAN NETWORK
NPI 1104008879
Internal Medicine in Cleveland, OH

Active since December 04, 2007
11201 SHAKER BLVD, SUITE 102, CLEVELAND, OH 44104(216) 721-6900(216) 368-7905 Get Directions Write a Review

NPPES record last updated: January 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cuyahoga Physician Network NPPES

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

CUYAHOGA PHYSICIAN NETWORK (NPI 1104008879) is a healthcare organization registered as an internal medicine in Cleveland, Ohio and active in the NPI registry since December 2007. The organization lists Misty A Blaylock, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1104008879
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOUTREACH PROFESSIONAL SERVICES INC
Location Address11201 SHAKER BLVD, SUITE 102Cleveland, OH 44104
Mailing Address26908 Detroit Rd, Suite 301Westlake, OH 44145-2398 · (440) 617-1823 · Fax (440) 617-0884
Phone(216) 721-6900
Fax(216) 368-7905
Organization SubpartNo
Authorized OfficialMisty A BlaylockCredentialing Coordinator · (440) 892-6406
Enumeration DateDecember 4, 2007
Last NPPES UpdateJanuary 12, 2010
✔ NPI 1104008879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
11201 SHAKER BLVD, Cleveland, OH 44104
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Other Names 1

Doing Business AsCuyahoga Physician Network

Other Identifiers 1

Medicaid0251856OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

CLEVELAND DENTAL INSTITUTE LLC
Clinic/Center (Dental)
11201 SHAKER BLVD
CLEVELAND, OH 44104
Cuyahoga County (216) 368-7238
SCOTT R BARTL PAC
Physician Assistant (Medical)
11201 SHAKER BLVD, SUITE 240
CLEVELAND, OH 44104
Cuyahoga County (216) 791-0017
MABEL BURGOS
Case Manager/Care Coordinator
11201 SHAKER BLVD
CLEVELAND, OH 44104
Cuyahoga County (216) 417-8813
DIAMOND E CHERRY
Case Manager/Care Coordinator
11201 SHAKER BLVD
CLEVELAND, OH 44104
Cuyahoga County (216) 417-8813
DR. CARRIE A BASSETT D.O.
Internal Medicine
11201 SHAKER BLVD, SUITE 102A
CLEVELAND, OH 44104
Cuyahoga County (216) 721-6900
CAROL RANGE
Case Manager/Care Coordinator
11201 SHAKER BLVD
CLEVELAND, OH 44104
Cuyahoga County (216) 417-8813
MALIKIA DECTRICE CALHOUN
Case Manager/Care Coordinator
11201 SHAKER BLVD
CLEVELAND, OH 44104
Cuyahoga County (440) 752-7810
SINCERE CARE LLC
Day Training, Developmentally Disabled Services
11201 SHAKER BLVD, STE 334/336
CLEVELAND, OH 44104
Cuyahoga County (216) 347-7377

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 Outreach Professional Services Inc's NPI number?

The NPI number for Outreach Professional Services Inc is 1104008879. It was assigned to this organization in the NPPES registry on December 4, 2007. The provider is doing business as Cuyahoga Physician Network.

Where is Outreach Professional Services Inc located?

Outreach Professional Services Inc is located at 11201 Shaker Blvd Suite 102, Cleveland, OH 44104. The listed phone number is (216) 721-6900.

What is Outreach Professional Services Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Outreach Professional Services Inc was last updated on January 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.