Individual provider Active NPI

Joseph Scaminace, CNP

  • Nurse Practitioner
  • Garfield Heights, OH
National Provider Identifier
1508279464
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.15953-NP Issued in OH
Practice address
12000 McCracken Rd Ste 201
Garfield Heights, OH 44125-2933
Phone
(216) 662-5600
NPI assigned
Jun 9, 2014
Last updated
Jun 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.15953-NP OH Primary

Addresses

Primary practice location

12000 McCracken Rd Ste 201
Garfield Heights, OH 44125-2933

Mailing address

12000 McCracken Rd Ste 201
Garfield Heights, OH 44125-2933
Phone (216) 662-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140919001623 OH Practitioner - Nurse Practitioner 3476772625 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew Brobbey, M.D., IncGroup PAC ID 1951408566, 7 clinicians
Premier Urgent Care, LLCGroup PAC ID 6800267360, 3 clinicians
Atrium Medical Group IncGroup PAC ID 4385626936, 12 clinicians
Internal Medicine Group IncGroup PAC ID 4789663469, 3 clinicians

Practice addresses (Care Compare)

27900 Euclid Ave
Euclid, OH 44132-3539
Phone (216) 731-7110

27900 Euclid Ave
Euclid, OH 44132-3544
Phone (216) 331-3318

36100 Euclid Ave
Suite 350
Willoughby, OH 44094-4489
Phone (440) 946-8300

88 Ctr Rd
Suite 350
Bedford, OH 44146-2775
Phone (440) 439-7766

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.15953-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Premier Urgent Care, LLC CurrentSince Nov 9, 2022 Accepting new patients
Atrium Medical Group, Inc CurrentSince May 22, 2022 Accepting new patients

Locations

88 Center Rd
Ste 350
Bedford, OH 44146
Phone (440) 439-7766

27900 Euclid Ave
Euclid, OH 44132
Phone (216) 331-3318

27900 Euclid Ave
Ste 100
Euclid, OH 44132

99 Northline Cir
Ste 99
Euclid, OH 44119
Phone (216) 692-3668

6555 Wilson Mills Rd
Ste 103D
Mayfield Village, OH 44143
Phone (440) 442-8313

6559 Wilson Mills Rd
Ste 106
Mayfield Vlg, OH 44143
Phone (855) 449-1540

35717 Euclid Ave
Willoughby, OH 44094
Phone (440) 354-7300

36100 Euclid Ave
Ste 350
Willoughby, OH 44094
Phone (440) 942-9308

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1508279464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD STE 201",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252933",
            "telephone_number": "216-662-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD STE 201",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252933",
            "telephone_number": "216-662-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAMINACE",
        "first_name": "JOSEPH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.15953-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.