The Cleveland Clinic Foundation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE CLEVELAND CLINIC FOUNDATION

Doing business as

Cleveland Clinic Chestnut Commons FHC and ASC

Practice address

303 Chestnut Commons Dr
Elyria, OH 44035-9607

Phone

(440) 366-9444

NPI assigned

Jan 28, 2008

Last updated

Jan 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Medve

Title

Director

Phone

(216) 973-3321

Specialties & licenses 1

Addresses

Other names 1

• Cleveland Clinic Chestnut Commons FHC and ASC Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Cleveland Clinic Home Care Services

  • Home Infusion Therapy Pharmacy
  • Independence, OH
  • NPI 1457381782

  Member Of

  NPD member
• Marymount Care Services LLC

  • Internal Medicine Physician
  • Chagrin Falls, OH
  • NPI 1992958227

  Member Of

  NPD member

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1124205638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W CREEK RD",
            "address_2": "SUITE 10",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312139",
            "telephone_number": "800-223-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 CHESTNUT COMMONS DR",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440359607",
            "telephone_number": "440-366-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLEVELAND CLINIC FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "MEDVE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-973-3321"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Clinic Chestnut Commons FHC and ASC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cleveland Clinic Chestnut Commons FHC and ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine R Taylor
• Patricia Taylor, CNP
• Mary Ann Teitelbaum, PHD
• Christie Lynn Thacker, LPN
• Kristin Marie Thacker
• The Cleveland Clinic Foundation
• The Genesis Center
• The Genesis Center
• The Krystal Foundation
• James Fraser Thoburn, PA-C

• Durable Medical Equipment & Medical Supplies in Elyria, OH
• Providers in Elyria, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.