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Outreach Professional Services Inc

Podiatrist in Lakewood, OH · enumerated 2007 · authorized official Misty Blaylock, Credentialing Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033391792

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Registry record

Entity type Organization (Type 2)
Legal business name Outreach Professional Services Inc
Other name <Unavail>
Practice address 14601 Detroit Rd, Suite 640, Lakewood, OH, 44107
Phone (216) 221-1500
Enumeration date Dec 4, 2007
Last updated in NPPES Jan 12, 2010

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Primary

Authorized official

Name Misty Blaylock
Title Credentialing Coordinator
Phone (440) 892-6406

Other identifiers

Identifier Type State Issuer
0251856 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Outreach Professional Services Inc?
The NPI for Outreach Professional Services Inc is 1033391792, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Outreach Professional Services Inc?
NPPES lists Misty Blaylock (Credentialing Coordinator) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-01-12.