Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Outreach Professional Services Inc

Organization Internal Medicine Physician · NPI 1104008879

Outreach Professional Services Inc is an Internal Medicine Physician in Cleveland, Ohio. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11201 Shaker Blvd Ste 102
Cleveland, OH 44104
Phone: (216) 721-6900
Fax: (216) 368-7905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X

Record details

NPI number1104008879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Misty Blaylock — Credentialing Coordinator · (440) 892-6406
Other names Cuyahoga Physician Network
NPI enumeratedDecember 4, 2007
Last updated in NPPESJanuary 12, 2010
Mailing address26908 Detroit Rd, Suite 301, Westlake, OH 44145-2398

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