Cleveland Clinic Avon Hospital
Organization Active NPI General Acute Care Hospital · Avon, OH
NPI 1346607017 · NPPES record last updated Jul 29, 2025
Key facts
- NPI
- 1346607017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 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
- Organization subpart
- No
Authorized official
- Name
- Dennis Laraway
- Title
- Executive VP Chief Finance Officer
- Phone
- (216) 445-1343
Owners & managing parties with NPI records 17
-
Beri M Ridgeway, M.D.
-
Rebecca N Starck, MD
Corporate family (same tax ID) 24
Member of 1
Facilities with the same owner 31
Practitioners 68
-
Christopher M Fackelmann, APRN, FNP-C
-
Alyssa Frndak, PA-C
-
Jodi L Carducci, PA-C
-
Karin R Danklefsen, PA-C
-
Nathan Hashagen, PA-C
-
Abigail Livingston, PAC
-
Tracy Anne Mix, PA-C
-
Eileen M O'Malley, PA-C
-
Heather Renee Osborne, PA-C
-
Debora Petani, PA-C
-
Scott D. Petersen, PA-C
-
Christopher John Ranc, PA-C
-
Maria Reed, PA-C
-
Karen Roane, PA-C
-
Tycen Smith, PA-C
-
Kristen Nicole Waite, PA-C
-
Elyse Margaret Mosher, PA-C
-
Susan Funk, ANP-BC
-
Laura Jane Jerome, FNP-BC
-
Connor James Anderson, PA-C
Affiliated clinicians 1,525
-
Mandi Abdel Ahad, DO
-
Nabilah Abdullah, M.D
-
Abby M Abelson, M.D.
-
Benjamin Abraham, M.D.
-
Hasan Abuamsha, MD
-
Jessica Adamowicz, MSN, FNP-C
-
Matthew Raymond Addis, M.D.
-
Kamran Adibi, MD
-
Anjali S Advani, M.D.
-
Summer Ribhi Afaneh, APRN
-
Sheremaria Agaiby, M.D.
-
Pearl Aggarwal, MD
-
Sonnet Bingham Aguirre, RDN, PA-C
-
Melih Akyuz, MD
-
May H Al-Abousi, MD
-
Feyrouz T Al-Ashkar, M. D.
-
Andrew Paul Alabise, CRNA
-
Jalaa Alahmad, M.D
Medicare Care Compare: Hospital
- Listed as
- Cleveland Clinic Avon Hospital
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2114956 | Cleveland Clinic Avon Hospital Laboratory | Accreditation | Jun 20, 2027 |
| 36D2116414 | Cleveland Clinic Avon Hospital Waived | Certificate of waiver | Jul 25, 2026 |
| 36D2117225 | Cleveland Clinic Avon Hospital Non-Waived Pcot | Accreditation | Jun 20, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
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
- Other · Non-profit
- Incorporated
- May 4, 2015 in OH
- Enrollment address
- 33300 Cleveland Clinic Blvd
Avon, OH 44011-1172 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 43
| Name | Role | Since | Share |
|---|---|---|---|
| Ronald Weinberg |
Corporate Director |
May 4, 2015 | |
| Marianne Crosley |
Corporate Director |
Jul 1, 2024 | |
| Deborah Crawford |
Corporate Director |
Jan 1, 2018 | |
| Marcia Ballinger |
Corporate Director |
Jan 1, 2025 | |
| Catherine M. Kilbane |
Corporate Director |
May 6, 2019 | |
| Dan Schulman |
Corporate Director |
Feb 28, 2022 | |
| Beth Mooney |
Corporate Officer |
Mar 5, 2019 | |
| Corporate Director |
May 4, 2015 | ||
| Melinda Rich |
Corporate Director |
Dec 14, 2021 | |
| The Cleveland Clinic Foundation |
5% Or Greater Direct Ownership Interest | May 4, 2016 | 100% |
| Operational/Managerial Control | May 4, 2015 | ||
| Betty Kemper |
Corporate Director |
Aug 3, 2020 | |
| Mark Ross |
Corporate Director |
Oct 3, 2022 | |
| Doreen Meredith |
W-2 Managing Employee |
Aug 24, 2015 | |
| Rebecca N Starck |
W-2 Managing Employee |
Nov 20, 2014 | |
| Dennis L Laraway |
Corporate Officer |
Mar 13, 2023 | |
| Carole Hoover |
Corporate Director |
May 4, 2016 | |
| Stewart Kohl |
Corporate Director |
Jan 1, 2018 | |
| Bonnie Gwin |
Corporate Director |
Feb 27, 2023 | |
| Hiroyuki Fujita |
Corporate Director |
Jan 1, 2020 | |
| Larry Pollock |
Corporate Director |
May 4, 2016 | |
| Richard J. Kramer |
Corporate Director |
Jan 1, 2018 | |
| Tomislav Mihaljevic |
Corporate Director |
Jan 1, 2018 | |
| Michael Petras |
Corporate Director |
Jun 6, 2016 | |
| Mark P Malloy |
Corporate Officer |
Sep 10, 2020 | |
| Stephanie Santin |
W-2 Managing Employee |
Mar 1, 2024 | |
| Jessica McArdle |
W-2 Managing Employee |
Dec 1, 2023 | |
| John Waldron |
Corporate Director |
Feb 1, 2021 | |
| Jorge Alberto Guzman |
Corporate Director |
Jul 1, 2024 | |
| Albert Salvatore |
Corporate Director |
Mar 2, 2021 | |
| Thomas Paumier |
Corporate Director |
Feb 1, 2024 | |
| Lorraine Vega |
Corporate Director |
Jan 1, 2016 | |
| Pamela Miller |
Corporate Director |
May 4, 2016 | |
| Alex Gorsky |
Corporate Director |
Jun 17, 2024 | |
| Heidi Sathre |
W-2 Managing Employee |
Jan 1, 2015 | |
| Michael E. Maroone |
Corporate Director |
May 6, 2019 | |
| Beri M Ridgeway |
Corporate Director |
Jan 1, 2021 | |
| Mark Lerner |
Corporate Director |
Nov 1, 2015 | |
| Rachel Byrnes |
W-2 Managing Employee |
Jun 1, 2022 | |
| Frederick Nance |
Corporate Director |
May 4, 2016 | |
| Dragana Rodic |
W-2 Managing Employee |
Mar 1, 2024 | |
| Omar Ishrak |
Corporate Director |
Aug 3, 2020 | |
| Patricia a Warther |
Corporate Director |
Jan 1, 2020 | |
| Robert Oblander |
Corporate Officer |
Jun 29, 2023 | |
| Umberto Fedeli |
Corporate Director |
May 4, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Dept of Thorcardiovas
Locations
5172 Leavitt Rd
Lorain, OH 44053
Phone (440) 282-7420
20050 Harvard Ave
Ste 106
Warrensville Heights, OH 44122
Phone (216) 491-7118
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
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
Other providers in Avon, OH
- City of Avon
- Alexander Robert Clapsaddle
- Cle Holistic Wellness LLC
- Kassie Kathryn Clements
- Cleveland Clinic
- Cleveland Clinic Foundation
- Cleveland Clinic Foundation
- Cleveland Clinic Rehabilitation Hospitals, LLC
- Moriah Cleveland
- Avianna Clinkscale
All providers in Avon, OH · General Acute Care Hospital in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.