Archwell Health Professional Services of Ohio, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ARCHWELL HEALTH PROFESSIONAL SERVICES OF OHIO, INC.

Practice address

5795 State Rd
Parma, OH 44134-2541

Phone

(888) 987-1151

NPI assigned

Feb 24, 2025

Last updated

Jun 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Lucas

Title

Chief Administrative Officer

Phone

(615) 419-9047

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 31

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.

• Corrine Lynn Adler, D.O.

  • Family Medicine Physician
  • Parma, OH
  • NPI 1780634485
  Medicare reassignment NPD
• Cynthia Woname Ameshie, APRN-CNP

  • Nurse Practitioner
  • Cleveland, OH
  • NPI 1972877843
  Medicare reassignment NPD
• Carrie L. Astrab, CNP

  • Primary Care Nurse Practitioner
  • Parma, OH
  • NPI 1497271654
  Medicare reassignment NPD
• Stacy Swati Banerjee, M.D.

  • Internal Medicine Physician
  • Maple Heights, OH
  • NPI 1871709964
  Medicare reassignment NPD
• Rachelle Bond, FNP

  • Family Nurse Practitioner
  • Euclid, OH
  • NPI 1578229670
  Medicare reassignment NPD
• Donald Lowell Bowers, DO

  • Family Medicine Physician
  • Cleveland Heights, OH
  • NPI 1356394688
  Medicare reassignment NPD
• Ruth A Chaza-Ndlovu, CNP

  • Nurse Practitioner
  • Willowick, OH
  • NPI 1326241852
  Medicare reassignment NPD
• Robert Coleman, MD

  • Emergency Medicine Physician
  • Brookpark, OH
  • NPI 1992781504
  Medicare reassignment NPD
• Alan Gatz, MD

  • Family Medicine Physician
  • Brookpark, OH
  • NPI 1588640825
  Medicare reassignment NPD
• Edy Hasrouni, MD

  • Family Medicine Physician
  • Westlake, OH
  • NPI 1700382389
  Medicare reassignment NPD
• Tara Ann Hudak, FNP

  • Family Nurse Practitioner
  • Brookpark, OH
  • NPI 1992427488
  Medicare reassignment NPD
• Sakinah King, CNP

  • Family Nurse Practitioner
  • Cleveland Heights, OH
  • NPI 1760765630
  Medicare reassignment NPD

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1366248965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5795 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342541",
            "telephone_number": "888-987-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHWELL HEALTH PROFESSIONAL SERVICES OF OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "615-419-9047"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Antonelli, DDS
• Antony Lendel
• Aplus Health Care LLC
• Aplus Health Care LLC
• Ara E Kallibjian
• Leandra Armstead
• John Charles Armstrong Jr., RN
• Annette Artis
• Antavia Artis
• Nuzhat Inayat Ashai, M.D.

• Internal Medicine Physician in Parma, OH
• Providers in Parma, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.