NPIMap

Organization Active NPI

Cleveland Clinic Foundaton

  • General Acute Care Hospital
  • Cleveland, OH
National Provider Identifier
1629452750
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
COA.17341-NP Issued in OH
Legal business name
CLEVELAND CLINIC FOUNDATON
Practice address
Cleveland Clinic Foundation
R35
Cleveland, OH 44195-0001
Phone
(330) 990-1907
NPI assigned
Jul 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
Miss Amanda Renee Bonham, CNPNPI 1629449244
Title
Nurse Practitioner
Phone
(330) 990-1907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X COA.17341-NP OH Primary

Addresses

Primary practice location

Cleveland Clinic Foundation
R35
Cleveland, OH 44195-0001

Mailing address

1440 Maile Ave
Down Unit
Lakewood, OH 44107-3315
Phone (330) 990-1907

Other identifiers 2

IdentifierTypeStateIssuer
COA.17341-NPOtherOHOHIO BOARD OF NURSING
RN.354139-1OtherOHOHIO BOARD OF NURSING

National Provider Directory

National Provider Directory
Tax ID family
Cleveland Clinic7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

Clinic Foundation
Cleveland, OH 44195
Phone (330) 990-1907

Practitioners & affiliated clinicians

Practitioners 1

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": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1629452750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 MAILE AVE",
            "address_2": "DOWN UNIT",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073315",
            "telephone_number": "330-990-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLEVELAND CLINIC FOUNDATION",
            "address_2": "R35",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "330-990-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CLINIC FOUNDATON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "BONHAM",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "330-990-1907",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "COA.17341-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "COA.17341-NP",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "RN.354139-1",
            "state": "OH"
        }
    ],
    "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 Jul 18, 2015; 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.