Georgene A Fanous, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP-06103 Issued in OH

Practice address

850 Brainard Road
Highland HTS., OH 44143

Phone

(440) 995-4500

Fax

(440) 995-4585

NPI assigned

Jan 26, 2007

Last updated

Oct 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chattree and Associates LTD

  dba Community Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beachwood, OH
  • NPI 1962448654
  NPD (past)
• Infinity Health Care, LLC

  • Nursing Care Agency
  • Westlake, OH
  • NPI 1902851587
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1396891826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 BELMERE DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295102",
            "telephone_number": "440-885-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BRAINARD ROAD",
            "city": "HIGHLAND HTS.",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-995-4500",
            "fax_number": "440-995-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANOUS",
        "first_name": "GEORGENE",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP-06103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIO",
            "identifier": "NP-06103",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Dalley
• Carol A Dikovitsky, L.P.C., A.T.R.-B.C.
• Dr Irina Yarovitsky,DMD,LLC (Dental Essentials)
• Eldorado Healthcare Management, LLC (Eldorado Home Care Services)
• Narine Epelbaum
• David J. Fishman, M.D.
• Sandra Denise Fleming-Brooks, ANP
• Kara Lynn Forte-Sullen, CNP
• Nicholas R Fratontonio, DDS
• Thomas William Frazier, PH D

• Nurse Practitioner in Highland HTS, OH
• Providers in Highland HTS, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.