David Jerome Pryor

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

954444 Issued in OH

Practice address

3030 Euclid Ave Ste 312
Cleveland, OH 44115-2518

Phone

(216) 391-0977

Fax

(216) 391-0978

NPI assigned

Jan 8, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1063929362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26942 TUNGSTEN RD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322937",
            "telephone_number": "216-225-5262",
            "fax_number": "216-391-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 EUCLID AVE STE 312",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152518",
            "telephone_number": "216-391-0977",
            "fax_number": "216-391-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "DAVID",
        "middle_name": "JEROME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "954444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marie Pruitt
• Kyle Alexander Pruitt
• Leesa Marie Prunty, PHARMD, BCPS, BCPPS
• Susan Marie Prusak, PHARMD.
• Alison P Pryce, MD
• Ireshia Pryor
• Sandra D Pryor
• Christopher Gregory Przybycin, M.D.
• Jacob Edward Przybylski
• Uma Przybylski, RPH

• Addiction (Substance Use Disorder) Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.