Outreach Professional Services Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OUTREACH PROFESSIONAL SERVICES INC

Doing business as

St Vincent Medical Group

Practice address

6701 Rockside Rd
Suite 103
Independence, OH 44131-2358

Phone

(216) 369-2800

Fax

(216) 369-0456

NPI assigned

Dec 4, 2007

Last updated

Jun 21, 2013By 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

Kelly A Mowrer

Title

Credentialing Specialist

Phone

(216) 472-2741

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St Vincent Medical Group Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St Vincent Charity Medical Center

  dba St Vincent Charity Community Health Center

  • Urgent Care Clinic/Center
  • Cleveland, OH
  • NPI 1871202481

  Member Of

  NPD member

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1952583627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 NORTHCLIFF AVE",
            "address_2": "SUITE 500",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443270",
            "telephone_number": "216-472-2730",
            "fax_number": "216-472-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD",
            "address_2": "SUITE 103",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312358",
            "telephone_number": "216-369-2800",
            "fax_number": "216-369-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH PROFESSIONAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "MOWRER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "216-472-2741"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251856",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Vincent Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaun Michael Ortega, P.A.
• Annette Ortiz
• Corey J. Orzolek, CNP
• Lisa Kay Oswald, PT
• Outreach Professional Services Inc (St Vincent Medical Group)
• Outreach Professional Services, Inc (St Vincent Medical Group)
• Outreach Professional Services, Inc. (Cuyahoga Physician Network)
• Stacey Outridge, MOT, OTR/L
• Ravza Ozturk, M.ED., LPC
• P.a.L.S. for Healing

• Durable Medical Equipment & Medical Supplies in Independence, OH
• Providers in Independence, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.