Organization
CLEVELAND CLINIC FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MEDVE (DIRECTOR)
(216) 973-3321
Entity
Organization
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008097700024
—
PA
05
—
01619410
—
NY
05
—
020369800
—
WV
05
—
10025458800
—
NE
05
—
200064070A
—
ID
05
—
6592652900
—
KY
Enumeration date
12/01/2006
Last updated
01/06/2022
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