Individual provider Active NPI

Carrie Cuffman

  • Developmental - Behavioral Pediatrics Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1639598808
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
35.130405 Issued in OH
Practice address
857 Graham Rd
Cuyahoga Falls, OH 44221-1170
Phone
(330) 923-9585
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 35.130405 OH Primary

Addresses

Primary practice location

857 Graham Rd
Cuyahoga Falls, OH 44221-1170

Mailing address

8156 Augusta LN
Northfield, OH 44067-1173
Phone (614) 398-8364

Other practice location 1

2801 Martin Luther King Jr Dr
Cleveland, OH 44104-3815
Phone (216) 636-5437

Other names 1

  • Carrie Mohn Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112003043 OH Practitioner - Pediatric Medicine 7911277710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Aug 12, 2020 Accepting new patients

Locations

2801 Mlk Dr
Cleveland, OH 44104
Phone (216) 448-6400

10524 Euclid Ave
Cleveland, OH 44106
Phone (216) 844-3881

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

857 Graham Rd
Cuyahoga Falls, OH 44221
Phone (330) 923-9585

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1639598808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8156 AUGUSTA LN",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440671173",
            "telephone_number": "614-398-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211170",
            "telephone_number": "330-923-9585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Martin Luther King Jr Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441043815",
            "country_code": "US",
            "telephone_number": "216-636-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUFFMAN",
        "first_name": "CARRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "OH",
            "license": "35.130405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "MOHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.