CUYAHOGA PHYSICIAN NETWORK
NPI 1396927067
Surgery in Cleveland, OH

NPI Status: Active since December 04, 2007

Contact Information

4415 EUCLID AVE
SUITE 110
CLEVELAND, OH
ZIP 44103
Phone: (216) 231-5612
Fax: (216) 721-5534

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  • Organization
  • Surgery
  • CLIA Number: 36D2222704
  • CLIA Cert. Type: Other - CCDC
  • CLIA Exp. Date: 04-29-2027

About CUYAHOGA PHYSICIAN NETWORK

This page provides the complete NPI Profile along with additional information for Cuyahoga Physician Network, a provider established in Cleveland, Ohio operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1396927067 assigned on December 2007. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Cuyahoga Physician Network operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Cuyahoga Physician Network. The authorized official of this NPI record is Misty A Blaylock (Credentialing Coordinator)

NPI
1396927067
Provider Legal Name
OUTREACH PROFESSIONAL SERVICES INC
Other Organization Name
CUYAHOGA PHYSICIAN NETWORK
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4415 EUCLID AVE SUITE 110 CLEVELAND, OH 44103
Location Phone
(216) 231-5612
Location Fax
(216) 721-5534
Mailing Address
26908 DETROIT RD SUITE 301 WESTLAKE, OH 44145
Mailing Phone
(440) 617-1823
Mailing Fax
(216) 721-5534
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2007
Last Update Date
01-12-2010
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A surgeon like Cuyahoga Physician Network treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISTY A BLAYLOCK

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(440) 892-6406

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0251856MEDICAID (05)OH 
1563848MEDICAID (05)OH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2222704
Facility Type
Other - CCDC
Certificate Effective Date
April 30, 2025
Certificate Expiration Date
April 29, 2027
Laboratory Director
MEGAN TESTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cuyahoga Physician Network to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CUYAHOGA PHYSICIAN NETWORK

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396927067, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 8 + 2 + 1 + 4 + 0 + 1 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1396927067.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Podiatrist
4415 EUCLID AVE, #110
CLEVELAND, OH 44103
Podiatrist
4415 EUCLID AVE
CLEVELAND, OH 44103
Podiatrist
4415 EUCLID AVE
CLEVELAND, OH 44103
Durable Medical Equipment & Medical Supplies
4415 EUCLID AVE, SUITE 343
CLEVELAND, OH 44103
Durable Medical Equipment & Medical Supplies
4415 EUCLID AVE, #349
CLEVELAND, OH 44103
Case Manager/Care Coordinator
4415 EUCLID AVE
CLEVELAND, OH 44103
Clinic/Center (Sleep Disorder Diagnostic)
4415 EUCLID AVE
CLEVELAND, OH 44103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396927067, enumerated as an "organization" on December 04, 2007.

The provider is located at 4415 EUCLID AVE SUITE 110 CLEVELAND, OH 44103 and the phone number is (216) 231-5612.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.