OrganizationActive
Outreach Professional Services Inc.
NPI 1407034655 · Orthopaedic Surgery Physician · Lorain, OH
Provider details
- NPI number
- 1407034655
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Misty Blaylock, Credentialing Coordinator(440) 892-6406
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neurological Surgery Physician207T00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
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
4804 Leavitt Rd
Lorain, OH 44053-2139
Phone: (440) 989-2066
Fax: (440) 989-1153
Street-level locationGet directions
Mailing address
26908 Detroit Rd
Westlake, OH 44145-2398
Other names (DBA / former)
- Doing business as
- Cuyahoga Physician Network
Registry dates
- Enumerated
- 2008-02-08
- Last updated
- 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.