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CHARLES O. MBANEFO, MD
NPI 1356530943
Specialist in Cleveland, OH

Active since October 18, 2007
11201 SHAKER BLVD, SUITE 130, CLEVELAND, OH 44104(216) 368-5687(216) 368-5623 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles O. Mbanefo, Md NPPES

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

CHARLES O. MBANEFO, MD (NPI 1356530943) is a healthcare organization registered as a specialist in Cleveland, Ohio and active in the NPI registry since October 2007. The organization lists Charles O. Mbanefo, Owner, as its authorized official.

NPPES Registry Identity

NPI1356530943
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHARLES O. MBANEFO, MD
Location Address11201 SHAKER BLVD, SUITE 130Cleveland, OH 44104-3869
Mailing Address11201 Shaker Blvd, Suite 130Cleveland, OH 44104-3869 · (216) 368-5687 · Fax (216) 368-5623
Phone(216) 368-5687
Fax(216) 368-5623
Organization SubpartNo
Authorized OfficialCharles O. MbanefoOwner · (216) 368-5687
Enumeration DateOctober 18, 2007
✔ NPI 1356530943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OH · 35-05-1577M
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11201 SHAKER BLVD, Cleveland, OH 44104
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Other Identifiers 1

Medicare UPINA82793

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Charles O. Mbanefo, MD's NPI number?

The NPI number for Charles O. Mbanefo, MD is 1356530943. It was assigned to this organization in the NPPES registry on October 18, 2007.

Where is Charles O. Mbanefo, MD located?

Charles O. Mbanefo, MD is located at 11201 Shaker Blvd Suite 130, Cleveland, OH 44104. The listed phone number is (216) 368-5687.

What is Charles O. Mbanefo, MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Charles O. Mbanefo, MD accept?

Health plans from CareSource list Charles O. Mbanefo, MD as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles O. Mbanefo, MD was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.