St Vincent Charity Hospital

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

57.029856 Issued in OH

Legal business name

ST VINCENT CHARITY HOSPITAL

Practice address

2351 E 22ND St
Cleveland, OH 44115-3111

Phone

(216) 861-6200

NPI assigned

Jun 27, 2017

Organization subpart

No

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

Authorized official

Name

Keyvan Ravakhah

Title

Program Director

Phone

(216) 861-6200

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Mojtaba Fayezizadeh

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1437674884
  NPD
• Roli Bernadette Iwere, MD

  • Hospitalist Physician
  • Gainesville, GA
  • NPI 1487178869

  Internal Medicine

  NPD (past)
• Oxana Shubin

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1871166082
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1457872780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST # 338W",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-861-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT CHARITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "RAVAKHAH",
        "authorized_official_first_name": "KEYVAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "216-861-6200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.029856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Lee St Denis, OTR L
• Maepearl St George, PA-C
• Kayla Breann St John, LSW, MSW
• St Judes Medical Clinic
• St Lukes Dialysis LLC
• St Vincent Charity Medical Center
• St Vincent Charity Medical Center
• St Vincent Charity Medical Center
• St Vincent Charity Medical Center
• St Vincent Charity Medical Center

• Internal Medicine Physician in Cleveland, OH
• Providers in Cleveland, 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 27, 2017; 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.