NPIMap

Organization Active NPI

Cleveland Clinic Avon Hospital

  • General Acute Care Hospital
  • Avon, OH
National Provider Identifier
1346607017
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CLEVELAND CLINIC AVON HOSPITAL
Practice address
33300 Cleveland Clinic Blvd
Avon, OH 44011-1390
Phone
(440) 695-5000
NPI assigned
Jan 26, 2016
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

33300 Cleveland Clinic Blvd
Avon, OH 44011-1390

Mailing address

6801 Brecksville Rd
Ste 20, Attn: DPC RK2-7
Independence, OH 44131-5062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160711001393 OH Part A Provider - Hospital 0547552630 Practice locations: Avon, OH
O20161024001962 OH Part B Supplier - Clinic/Group Practice 0547552630 Receives reassigned benefits from 28 practitioners
Practice locations: Avon, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346607017. Details of each certification follow.

Hospital certification: CCN 360364

Legal name
CLEVELAND CLINIC AVON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 9, 2016
Last certification
Dec 9, 2016
Beds
126
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Incorporated
May 4, 2015 in OH
Enrollment address
33300 Cleveland Clinic Blvd
Avon, OH 44011-1172
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Cleveland Clinic Avon HospitalCCN 360364 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
36D2114956Cleveland Clinic Avon Hospital Laboratory33300 Cleveland Clinic Blvd, Avon, OH 44011AccreditationJun 20, 2027
36D2116414Cleveland Clinic Avon Hospital Waived33300 Cleveland Clinic Blvd, Avon, OH 44011Certificate of waiverJul 25, 2026
36D2117225Cleveland Clinic Avon Hospital Non-Waived Pcot33300 Cleveland Clinic Blvd, Avon, OH 44011AccreditationJun 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dept of Colorectal Surg229 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Member of 1

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

Locations

361 S Monroe St
Ste 30
San Jose, CA 95128

Ownership & related parties

All disclosed owners & managing parties 43

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ronald Weinberg Individual Corporate DirectorDirector May 4, 2015
Marianne Crosley Individual Corporate DirectorBoard of Directors - Director Jul 1, 2024
Deborah Crawford Individual Corporate DirectorDirector - Board of Directors Jan 1, 2018
Marcia Ballinger Individual Corporate DirectorBoard of Directors - Director Jan 1, 2025
Catherine M. Kilbane Individual Corporate DirectorDirector - Board of Directors May 6, 2019
Dan Schulman Individual Corporate DirectorDirector - Board of Directors Feb 28, 2022
Beth Mooney Individual Corporate OfficerChair, Board of Directors Mar 5, 2019
Corporate DirectorDirector May 4, 2015
Melinda Rich Individual Corporate DirectorDirector - Board of Directors Dec 14, 2021
The Cleveland Clinic Foundation Organization, Cleveland, OH Corporation 5% Or Greater Direct Ownership Interest May 4, 2016 100%
Operational/Managerial Control May 4, 2015
Betty Kemper Individual Corporate DirectorDirector - Board of Directors Aug 3, 2020
Mark Ross Individual Corporate DirectorDirector - Board of Directors Oct 3, 2022
Doreen Meredith Individual W-2 Managing EmployeeDepartment Analyst II Aug 24, 2015
Rebecca N Starck Individual W-2 Managing EmployeeVP and Cheif Medical Officer Nov 20, 2014
Dennis L Laraway Individual Corporate OfficerChief Financial Officer Mar 13, 2023
Carole Hoover Individual Corporate DirectorDirector May 4, 2016
Stewart Kohl Individual Corporate DirectorDirector - Board of Directors Jan 1, 2018
Bonnie Gwin Individual Corporate DirectorDirector - Board of Directors Feb 27, 2023
Hiroyuki Fujita Individual Corporate DirectorDirector - Board of Directors Jan 1, 2020
Larry Pollock Individual Corporate DirectorDirector May 4, 2016
Richard J. Kramer Individual Corporate DirectorDirector - Board of Directors Jan 1, 2018
Tomislav Mihaljevic Individual Corporate DirectorDirector - Board of Directors Jan 1, 2018
Michael Petras Individual Corporate DirectorDirector - Board of Directors Jun 6, 2016
Mark P Malloy Individual Corporate OfficerRegional Cfo, Oh and Treasurer Sep 10, 2020
Stephanie Santin Individual W-2 Managing EmployeeDepartment Analyst II Mar 1, 2024
Jessica McArdle Individual W-2 Managing EmployeeDepartment Analyst I Dec 1, 2023
John Waldron Individual Corporate DirectorDirector - Board of Directors Feb 1, 2021
Jorge Alberto Guzman Individual Corporate DirectorBoard of Directors - Director Jul 1, 2024
Albert Salvatore Individual Corporate DirectorDirector - Board of Directors Mar 2, 2021
Thomas Paumier Individual Corporate DirectorBoard of Directors - Director Feb 1, 2024
Lorraine Vega Individual Corporate DirectorDirector Jan 1, 2016
Pamela Miller Individual Corporate DirectorDirector May 4, 2016
Alex Gorsky Individual Corporate DirectorBoard of Directors - Director Jun 17, 2024
Heidi Sathre Individual W-2 Managing EmployeeFinance Manager I Jan 1, 2015
Michael E. Maroone Individual Corporate DirectorDirector - Board of Directors May 6, 2019
Beri M Ridgeway Individual Corporate DirectorDirector - Board of Directors Jan 1, 2021
Mark Lerner Individual Corporate DirectorDirector Nov 1, 2015
Rachel Byrnes Individual W-2 Managing EmployeeDepartment Analyst II Jun 1, 2022
Frederick Nance Individual Corporate DirectorDirector May 4, 2016
Dragana Rodic Individual W-2 Managing EmployeeDepartment Analyst I Mar 1, 2024
Omar Ishrak Individual Corporate DirectorDirector - Board of Directors Aug 3, 2020
Patricia a Warther Individual Corporate DirectorDirector - Board of Directors Jan 1, 2020
Robert Oblander Individual Corporate OfficerSecretary Jun 29, 2023
Umberto Fedeli Individual Corporate DirectorDirector May 4, 2015

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

Practitioners & affiliated clinicians

Practitioners 68

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.

View all 68

Affiliated clinicians 1,525

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,525

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1346607017",
    "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": "441315062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33300 CLEVELAND CLINIC BLVD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111390",
            "telephone_number": "440-695-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CLINIC AVON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.