Outreach Professional Services INC

NPI #1619157039 in Brook Park, Ohio

Provider Information

NPI Number: 1619157039
Entity Type: Organization
Organization Name: Outreach Professional Services INC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Nov 14, 2007
Last Updated: Jan 12, 2010

Practice Location

Address: 15900 SNOW RD
Address 2: SUITE 200
City: Brook Park
State: Ohio
ZIP Code: 44142
Phone: (216) 676-1234

Authorized Official

Name: MISTY A BLAYLOCK
Title: CREDENTIALING COORDINATOR
Phone: (440) 892-6406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X
Anesthesiology	207L00000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Neurological Surgery	207T00000X
Obstetrics & Gynecology	207V00000X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Surgery	208600000X
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X
Podiatrist	213E00000X
Advanced Practice Midwife	367A00000X
Orthopaedic Surgery	207X00000X	Primary

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