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Contact Information

OUTREACH PROFESSIONAL SERVICES INC
2351 E 22ND ST
CLEVELAND, OH44115-3111
 Phone: 216-363-2730
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for OUTREACH PROFESSIONAL SERVICES INC

NPI # 1134119829
LBN Legal business name OUTREACH PROFESSIONAL SERVICES INC
Authorized official JOHN RUSNACZYK - (SENIOR VICE PRESIDENT & CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2005
Last updated 01/13/2021 - About 5 years ago
Identifiers
OH Medicaid 0251856
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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