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

Outreach Professional Services Inc

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1619157039

Outreach Professional Services Inc is an Oral & Maxillofacial Surgery (D.M.D.) in Brook Park, Ohio. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
15
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

15900 Snow Rd Ste 200
Brook Park, OH 44142
Phone: (216) 676-1234
Fax: (216) 676-5876
Show map & directions

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

Specialties & licences

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

Record details

NPI number1619157039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Misty Blaylock — Credentialing Coordinator · (440) 892-6406
Other names Cuyahoga Physician Network
NPI enumeratedNovember 14, 2007
Last updated in NPPESJanuary 12, 2010
Mailing address26908 Detroit Rd, Suite 301, Westlake, OH 44145-2398