Active NPI
The Cleveland Clinic Foundation
- Family Medicine Physician
- Avon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- THE CLEVELAND CLINIC FOUNDATION
- Practice address
- 36040 Detroit Rd
Ste a
Avon, OH 44011-1686 - Phone
- (886) 636-3318
- NPI assigned
- Apr 4, 2025
- Last updated
- Aug 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Laraway
- Title
- Executive VP Chief Finance Officer
- Phone
- (216) 445-1343
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU | ||
| Pediatrics Physician | 208000000X | NU |
Addresses
Primary practice location
36040 Detroit Rd
Ste a
Avon, OH 44011-1686
Mailing address
6801 Brecksville Rd
Ste 20 Attn: DPC RK2-7
Independence, OH 44131
Other practice location 1
20300 Farnsleigh Road
Shaker Heights, OH 44122
Phone (216) 444-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031103000049 | OH | Part B Supplier - Clinic/Group Practice | 1850203555 |
Receives reassigned benefits from 8,267 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
O20031103000049
-
dba Cleveland Clinic
- Anatomic Pathology Physician
- Cleveland, OH
- NPI 1679886816
O20031103000049
-
dba Cleveland Clinic
- Clinical Medical Laboratory
- Cleveland, OH
- NPI 1811069685
O20031103000049
National Provider Directory
National Provider DirectoryLocations
21 Sugarbush Ct
Ashland, OH 44805
Phone (419) 289-6466
36040 Detroit Rd
Ste A
Avon, OH 44011
Phone (886) 636-3318
3050 Science Park Dr
Bldg 3
Beachwood, OH 44122
Phone (866) 223-2273
9500 Euclid Ave
Ste A10
Cleveland, OH 44195
Phone (216) 444-3046
970 E Washington St
Ste 6A
Medina, OH 44256
Phone (330) 721-5706
6555 Frank Ave NW
North Canton, OH 44720
Phone (330) 956-5300
20300 Farnsleigh Rd
Shaker Heights, OH 44122
Practitioners & affiliated clinicians
Practitioners 603
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Cleveland, OH
- NPI 1528845252
-
- Physician Assistant
- Cleveland, OH
- NPI 1750772711
-
- Physician Assistant
- Cleveland, OH
- NPI 1093233082
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1396230975
-
- Physician Assistant
- Cleveland, OH
- NPI 1821632068
-
- Medical Physician Assistant
- Cleveland, OH
- NPI 1427332469
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Cleveland, OH
- NPI 1912898883
-
- Physician Assistant
- Cleveland, OH
- NPI 1851046924
-
- Physician Assistant
- Cleveland, OH
- NPI 1831441021
-
- Physician Assistant
- Cleveland, OH
- NPI 1033826102
-
- Physician Assistant
- Kirtland, OH
- NPI 1578936837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754956800000",
"number": "1184428336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 BRECKSVILLE RD",
"address_2": "STE 20 ATTN: DPC RK2-7",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "44131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36040 DETROIT RD",
"address_2": "STE A",
"city": "AVON",
"state": "OH",
"postal_code": "440111686",
"telephone_number": "886-636-3318"
}
],
"practiceLocations": [
{
"address_1": "20300 Farnsleigh Road",
"address_purpose": "LOCATION",
"city": "Shaker Heights",
"state": "OH",
"postal_code": "44122",
"country_code": "US",
"telephone_number": "216-444-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE CLEVELAND CLINIC FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-04",
"last_updated": "2025-08-12",
"certification_date": "2025-08-07",
"status": "A",
"authorized_official_last_name": "LARAWAY",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "EXECUTIVE VP CHIEF FINANCE OFFICER",
"authorized_official_telephone_number": "216-445-1343"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, OH
- Alicia Taylor, RN
- Nickea M Taylor
- Megan Kathleen Teets
- Kristen Marie Teper-Lacrosse, P.T.
- The Cleveland Clinic Foundation
- The Cleveland Clinic Foundation
- The Cleveland Clinic Foundation (Cleveland Clinic Cole Eye - Avon)
- The Cleveland Clinic Foundation (Avon Pharmacy)
- The Cleveland Clinic Foundation
- The Cleveland Clinic Foundation (Cleveland Clinic Orthopaedics and Rheumatology at Avon)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.