Organization
OUTREACH PROFESSIONAL SERVICES, INC.
Active
Other names
Cuyahoga Physician Network
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY A BLAYLOCK (CREDENTIALING COORDINATOR)
(440) 892-6406
Entity
Organization
Contact information
Practice address
4400 ROCKSIDE ROAD, SUITE 2200, INDEPENDENCE, OH 44131
(216) 363-7075
(216) 624-7592
Mailing address
26908 DETROIT ROAD, SUITE 301, WESTLAKE, OH 44145
(440) 617-1823
(440) 617-0884
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251856
—
OH
Enumeration date
10/15/2010
Last updated
10/15/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up