OrganizationActive
Outreach Professional Services, Inc.
NPI 1609186204 · Surgery Physician · Independence, OH
Provider details
- NPI number
- 1609186204
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Misty Blaylock, Credentialing Coordinator(440) 892-6406
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
4400 Rockside Road
Suite 2200
Independence, OH 44131
Phone: (216) 363-7075
Fax: (216) 624-7592
Street-level locationGet directions
Mailing address
26908 Detroit Road
Westlake, OH 44145
Other names (DBA / former)
- Doing business as
- Cuyahoga Physician Network
Registry dates
- Enumerated
- 2010-10-15
- Last updated
- 2010-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.