Individual provider Active NPI

Maria Louise Fyock, APRN

  • Gerontology Nurse Practitioner
  • Cuyahoga Falls, OH
National Provider Identifier
1780090605
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
COA.16110-NP Issued in OH
Practice address
275 Graham Rd.
Suite 4
Cuyahoga Falls, OH 44223-2259
Phone
(330) 926-9409
Fax
(330) 926-9428
NPI assigned
Jul 11, 2014
Last updated
Jul 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X COA.16110-NP OH Primary

Addresses

Primary practice location

275 Graham Rd.
Suite 4
Cuyahoga Falls, OH 44223-2259

Mailing address

275 Graham Rd.
Suite 4
Cuyahoga Falls, OH 44223-2259
Phone (330) 926-9409

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
I20140820002003 OH Practitioner - Nurse Practitioner 1759509516 Reassigns benefits to 3 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
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.16110-NPOHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince Jan 3, 2023 Accepting new patients
Rufus a Reuben MD Internal Medicine & Geriatrics Inc CurrentSince Jul 1, 2014 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 24, 2024 Accepting new patients
Partners Physician Group CurrentSince Jan 3, 2023 Accepting new patients
Partners Physician Group Past Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

1 Akron General Ave
Ste 3500
Akron, OH 44307
Phone (330) 344-1400

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

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

2728 Bailey Rd
Cuyahoga Fls, OH 44221
Phone (330) 929-4231

275 Graham Rd
Ste 4
Cuyahoga Fls, OH 44223
Phone (330) 329-9547

Interoperability endpoints

  • Direct secure messaging: mfyock24119@summahealth-direct.org

Organizations & group practices 5

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 5

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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1780090605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 GRAHAM RD.",
            "address_2": "SUITE 4",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232259",
            "telephone_number": "330-926-9409",
            "fax_number": "330-926-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GRAHAM RD.",
            "address_2": "SUITE 4",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232259",
            "telephone_number": "330-926-9409",
            "fax_number": "330-926-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYOCK",
        "first_name": "MARIA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "COA.16110-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.