N/a

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

401616630214 Issued in OH

Legal business name

N/A

Practice address

8722 Beckman Ave
Cleveland, OH 44104-2337

Phone

(216) 937-9110

NPI assigned

Jun 19, 2014

Last updated

Jun 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina Yvette Blake

Title

Stna

Phone

(216) 937-9110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1932513694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8722 BECKMAN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441042337",
            "telephone_number": "216-937-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8722 BECKMAN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441042337",
            "telephone_number": "216-937-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N/A",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "STNA",
        "authorized_official_telephone_number": "216-937-9110"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "401616630214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Mzik
• MZM Transport Inc. (Medxpress)
• N Alliance Transit LLC
• N Stiles Medical Transport LLC
• N. Stephen Wilson, D.D.S. (Dental Health & Cosmetics)
• NA
• Robert Naami, MD
• Leon Naar, MD
• Wallanda Nabaa
• Seyed Amin Please Select Nabavi, MD

• Preferred Provider Organization in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Preferred Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.