Individual provider Active NPI

Cheryl L Ridenbaugh, C.N.M.

  • Advanced Practice Midwife
  • Cleveland, OH
National Provider Identifier
1114209368
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.13289 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-4503
Phone
(330) 206-3304
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MW010252 PA
Advanced Practice Midwife 367A00000X APRN.CNM.13289 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-4503

Mailing address

9231 Horn Rd
Windham, OH 44288-1441
Phone (330) 206-3304

Other identifiers 1

IdentifierTypeStateIssuer
0069383MedicaidOH

Other names 1

  • Cheryl L Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121110000086 OH Practitioner - Certified Nurse Midwife (CNM) 9931373420 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN.CNM.13289OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Aug 12, 2022 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Feb 1, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Aug 12, 2022 Accepting new patients
Robinson Memorial Portage County Hospital Past Accepting new patients
Robinson Health Affiliates, Inc. Past Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

6770 Mayfield Rd
Ste 205
Mayfield Heights, OH 44124
Phone (440) 312-3500

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

667 Eastland Ave SE
Fl 2
Warren, OH 44484
Phone (330) 841-4579

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1114209368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9231 HORN RD",
            "city": "WINDHAM",
            "state": "OH",
            "postal_code": "442881441",
            "telephone_number": "330-206-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441954503",
            "telephone_number": "330-206-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDENBAUGH",
        "first_name": "CHERYL",
        "middle_name": "L",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010252",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.13289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069383",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "MARTIN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.