Outreach Professional Services Inc
NPI 1104008879 · Internal Medicine Physician · Cleveland, OH
Outreach Professional Services Inc is a Internal Medicine Physician organization in Cleveland, OH (NPI 1104008879).
Provider details
- NPI number
- 1104008879
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Misty Blaylock, Credentialing Coordinator(440) 892-6406
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Cuyahoga Physician Network
Registry dates
- Enumerated
- 2007-12-04
- Last updated
- 2010-01-12
Frequently asked questions
- What is Outreach Professional Services Inc's NPI number?
- Outreach Professional Services Inc's National Provider Identifier (NPI) is 1104008879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Outreach Professional Services Inc?
- Outreach Professional Services Inc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Outreach Professional Services Inc located?
- Outreach Professional Services Inc's practice location on file with NPPES is 11201 Shaker Blvd, Cleveland, OH 44104.
- What is Outreach Professional Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Outreach Professional Services Inc is (216) 721-6900.
- Who is the authorized official for Outreach Professional Services Inc?
- The authorized official listed on Outreach Professional Services Inc's NPPES record is Misty Blaylock, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Outreach Professional Services Inc's NPI active?
- Yes — Outreach Professional Services Inc's NPI (1104008879) is active in the NPPES registry as of the last update on 2010-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.