Organization Active NPI

CCF Tennessee Medical Services PC

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1366788408
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CCF TENNESSEE MEDICAL SERVICES PC
Practice address
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone
(216) 444-2273
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Steven Shook
Title
VP Safety Quality Patient Experienc
Phone
(216) 444-9479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

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 TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130204000247 TN Part B Supplier - Clinic/Group Practice 2567616303 Receives reassigned benefits from 3 practitioners
Practice locations: Nashville, TN; Brentwood, TN

National Provider Directory

National Provider Directory

Member of 1

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

Locations

5701 N University Dr
Parkland, FL 33067
Phone (954) 518-7500

1449 Boardman Canfield Rd
Ste 140
Boardman, OH 44512
Phone (330) 965-7370

5800 Cooper Foster Park Rd W
Lorain, OH 44053
Phone (440) 204-7400

1302 W Main St
Louisville, OH 44641
Phone (330) 875-3366

17840 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 234-8500

6200 Whipple Ave NW
North Canton, OH 44720
Phone (330) 966-8884

2550 Som Center Rd
Willoughby Hills, OH 44094
Phone (440) 516-8620

721 E Milltown Rd
Wooster, OH 44691
Phone (330) 287-4500

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1366788408",
    "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": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCF TENNESSEE MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VP SAFETY QUALITY PATIENT EXPERIENC",
        "authorized_official_telephone_number": "216-444-9479"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "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 Aug 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.