ST JUDES MEDICAL CLINIC – NPI #1609884592
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

ST JUDES MEDICAL CLINIC is a provider located in CLEVELAND, OH. NPPES has assigned the NPI number 1609884592 to ST JUDES MEDICAL CLINIC on August 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 16 years ago on Feb 22, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST JUDES MEDICAL CLINIC below.

NPI Profile for
ST JUDES MEDICAL CLINIC

NPI Number
1609884592
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST JUDES MEDICAL CLINIC
Primary location
7211 BROADWAY
CLEVELAND, OH 44105
Phone: (216) 271-1947 Fax: (216) 271-0106
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NELIDA ENRIQUE
PRESIDENT TREASURER
Phone: (216) 271-1947
Updated
Identifiers

Identifiers for ST JUDES MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH0325866
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 OH 35033404

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.