Active NPI
Angela Kaye Tomasulo, CNP
- Primary Care Nurse Practitioner
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- CNP.0035198
- Practice address
- 11100 Euclid Ave Ste 666
Cleveland, OH 44106-1716 - Phone
- (973) 668-3606
- NPI assigned
- Dec 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | CNP.0035198 | OH | Primary |
Addresses
Primary practice location
11100 Euclid Ave Ste 666
Cleveland, OH 44106-1716
Mailing address
18879 Canyon Rd
Fairview Park, OH 44126-1703
Phone (973) 668-3606
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP.0035198 | OH | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
5901 E Royalton Rd
Ste 2300
Broadview Heights, OH 44147
Phone (216) 529-6180
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Ste 2500
Cleveland, OH 44106
11100 Euclid Ave
Ste 170
Cleveland, OH 44106
11100 Euclid Ave
Cleveland Heights, OH 44106
29001 Cedar Rd
Ste 202
Lyndhurst, OH 44124
Phone (440) 461-7999
34055 Solon Rd
Ste 200
Solon, OH 44139
Phone (440) 914-7840
960 Clague Rd
Ste 2470
Westlake, OH 44145
Phone (440) 250-2440
960 Clague Rd
Ste 1600
Westlake, OH 44145
Phone (216) 844-1765
Interoperability endpoints
- atomasulo45953@ehrdirect.uhhospitals.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
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- Tacoma, WA
- NPI 1407808413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1326814161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18879 CANYON RD",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441261703",
"telephone_number": "973-668-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE STE 666",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "973-668-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMASULO",
"first_name": "ANGELA",
"middle_name": "KAYE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "CNP.0035198",
"primary": true
}
],
"identifiers": [],
"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 Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.