NPIMap

Organization Active NPI

Cleveland Pediatrics,P.C.

  • Pediatrics Physician
  • Cleveland, TN
National Provider Identifier
1609046267
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD16047 Issued in TN
Legal business name
CLEVELAND PEDIATRICS,P.C.
Practice address
435 25TH St NW
Cleveland, TN 37311-3838
Phone
(423) 479-9733
Fax
(423) 472-1890
NPI assigned
Mar 10, 2008
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Mrs. Eva Gail Ownby, RN, CPMSM
Title
Practice Manager
Phone
(423) 479-9733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD16047 TN Primary

Addresses

Primary practice location

435 25TH St NW
Cleveland, TN 37311-3838

Mailing address

435 25TH St NW
Cleveland, TN 37311-3838
Phone (423) 479-9733

Other identifiers 1

IdentifierTypeStateIssuer
3381759MedicaidTN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0309322Cleveland Pediatrics PC435 25TH St NW, Cleveland, TN 37311AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

435 25th St NW
Cleveland, TN 37311
Phone (423) 479-9733

Interoperability endpoints

  • Direct secure messaging: billmurphymd@direct.clevelandpediatrics.net
  • Direct secure messaging: diedresuitsnp@direct.clevelandpediatrics.net
  • Direct secure messaging: felicitofernandomd@direct.clevelandpediatrics.net
  • Direct secure messaging: jessicacliffordmd@direct.clevelandpediatrics.net
  • Direct secure messaging: mitzieperrynp@direct.clevelandpediatrics.net
  • Direct secure messaging: susanermermd@direct.clevelandpediatrics.net

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1609046267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 25TH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113838",
            "telephone_number": "423-479-9733",
            "fax_number": "423-472-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 25TH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113838",
            "telephone_number": "423-479-9733",
            "fax_number": "423-472-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND PEDIATRICS,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "OWNBY",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "423-479-9733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, CPMSM"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD16047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3381759",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.