NPIMap

Organization Active NPI

Spry Healthcare LLC

  • Community Health Clinic/Center
  • Cleveland, OH
National Provider Identifier
1699392084
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SPRY HEALTHCARE LLC
Practice address
811 Prospect Ave E Ste 200
Cleveland, OH 44115-1111
Phone
(216) 957-7779
NPI assigned
Jul 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Ms. Patricia A Gallagher, CPCS, CPMSMNPI 1366873184
Title
Director, Professinal Affairs
Phone
(216) 778-5790

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
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

811 Prospect Ave E Ste 200
Cleveland, OH 44115-1111

Mailing address

811 Prospect Ave E Ste 200
Cleveland, OH 44115-1111
Phone (216) 957-7779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210920000159 OH Part B Supplier - Clinic/Group Practice 9335546399 Receives reassigned benefits from 8 practitioners
Practice locations: Cleveland, OH

National Provider Directory

National Provider Directory

Locations

811 Prospect Ave E
Cleveland, OH 44115

811 Prospect Ave E
Ste 200
Cleveland, OH 44115
Phone (216) 778-1639

Practitioners & affiliated clinicians

Practitioners 9

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": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1699392084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 PROSPECT AVE E STE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151111",
            "telephone_number": "216-957-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 PROSPECT AVE E STE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151111",
            "telephone_number": "216-957-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, PROFESSINAL AFFAIRS",
        "authorized_official_telephone_number": "216-778-5790",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPCS, CPMSM"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.