Active NPI
Cleveland Clinic Support Services
- Diagnostic Radiology Physician
- Cleveland, OH
National Provider Identifier
1891042909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- CLEVELAND CLINIC SUPPORT SERVICES
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-0001 - Phone
- (216) 444-2273
- NPI assigned
- Aug 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Laraway
- Title
- Executive VP Chief Finance Officer
- Phone
- (216) 445-1343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
6801 Brecksville Rd
Ste 20 Attn: DPC RK2-7
Independence, OH 44131-5062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Sheffield Village, OH
- NPI 1942405741
Member Of
Locations
1940 Town Park Blvd
Green, OH 44685
Phone (330) 869-5010
5001 Rockside Rd
Independence, OH 44131
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Cleveland, OH
- NPI 1417914367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754870400000",
"number": "1891042909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 BRECKSVILLE RD",
"address_2": "STE 20 ATTN: DPC RK2-7",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441315062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-444-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELAND CLINIC SUPPORT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-08",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A",
"authorized_official_last_name": "LARAWAY",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "EXECUTIVE VP CHIEF FINANCE OFFICER",
"authorized_official_telephone_number": "216-445-1343"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
- Cleveland Clinic Foundaton
- Cleveland Clinic Health Services Professional Association, Inc
- Cleveland Clinic Health System - East Region
- Cleveland Clinic Health System - East Region
- Cleveland Clinic Medical Services, Inc.
- Cleveland Clinic Value Based Organization
- Cleveland Clinic- Cleveland-Oh
- Cleveland Coast Home Care Services LLC
- Cleveland College Preparatory School
- Cleveland College Preparatory School
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.