Organization Active NPI

Preterm Cleveland Inc

  • Ambulatory Surgical Clinic/Center
  • Cleveland, OH
National Provider Identifier
1326048182
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0288AS Issued in OH
Legal business name
PRETERM CLEVELAND INC
Practice address
12000 Shaker Blvd
Cleveland, OH 44120-1922
Phone
(216) 991-4577
Fax
(216) 991-4571
NPI assigned
Jul 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Chrisse France
Title
Executive Director
Phone
(216) 991-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0288AS OH Primary

Addresses

Primary practice location

12000 Shaker Blvd
Cleveland, OH 44120-1922

Mailing address

12000 Shaker Blvd
Cleveland, OH 44120-1922
Phone (216) 991-4577

Other identifiers 1

IdentifierTypeStateIssuer
0234697MedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0335934Preterm Cleveland Inc12000 Shaker Boulevard, Cleveland, OH 44120Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory

Locations

12000 Shaker Blvd
Cleveland, OH 44120
Phone (216) 991-4000

Interoperability endpoints

  • Direct secure messaging: justinlappen@pcic.allscriptsdirect.net
  • Direct secure messaging: mitchellreider@pcic.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326048182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 SHAKER BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201922",
            "telephone_number": "216-991-4577",
            "fax_number": "216-991-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 SHAKER BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201922",
            "telephone_number": "216-991-4577",
            "fax_number": "216-991-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRETERM CLEVELAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANCE",
        "authorized_official_first_name": "CHRISSE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-991-4577",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0288AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234697",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.