Declan C Mgbudem

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

SS802996 Issued in OH

Practice address

17403 Harvard Ave
Cleveland, OH 44128-1715

Phone

(234) 389-2121

NPI assigned

Dec 23, 2024

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": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1285442178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10449 TOWNLEY CT",
            "city": "REMINDERVILLE",
            "state": "OH",
            "postal_code": "442028152",
            "telephone_number": "234-389-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17403 HARVARD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441281715",
            "telephone_number": "234-389-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17403 Harvard Avenue",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44128",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MGBUDEM",
        "first_name": "DECLAN",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "SS802996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Meyers, STNA
• McKenna Meyersburg, QMHS, CMS
• Howard J Meyerson, MD
• Makenna Mezget, M.A. CCC-SLP
• Moulay A Meziane, M.D.
• MGT Transportation Incorperation
• Narjis Mhaimeed
• Houssam Mhanna, M.D.
• John L Mhanna, DO
• Sarah Miano, PHD, RN

• Non-emergency Medical Transport (VAN) in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.