Outreach Professional Services Inc.
Outreach Professional Services Inc. is a healthcare organization registered as Orthopaedic Surgery Physician in Lorain, OH, holding Type 2 (organization) NPI 1407034655 since 2008. The authorized official on file is Misty Blaylock, Credentialing Coordinator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407034655 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Outreach Professional Services Inc. |
| Other name | <Unavail> |
| Practice address | 4804 LEAVITT RD, Lorain, OH, 44053 |
| Phone | 4409892066 |
| Fax | 4409891153 |
| Enumeration date | 2008-02-08 |
| Last updated in NPPES | 2010-01-12 |
Authorized official
| Name | Misty Blaylock |
|---|---|
| Title | Credentialing Coordinator |
| Phone | 4408926406 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery Physician | Secondary | — | — |
| 207X00000X | Orthopaedic Surgery Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0251856 | Medicaid | OH | — |
Copy-ready billing details
Provider: Outreach Professional Services Inc. NPI: 1407034655 Taxonomy: 207X00000X (Orthopaedic Surgery Physician) Address: 4804 LEAVITT RD, Lorain, OH, 44053
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548264179 | Bharat Shah | Individual | Specialist | Lorain, OH |
| 1194729749 | Samuel Lofton | Individual | Medical Physician Assistant | Lorain, OH |
| 1235116906 | Terrence Olitsky | Individual | Physician Assistant | Lorain, OH |
| 1245218775 | Osama Malak | Individual | Specialist | Lorain, OH |
| 1649250218 | Lorain Surgery Center, LLC | Organization | Ambulatory Surgical Clinic/Center | Lorain, OH |
| 1124095112 | Comprehensive Pain Care Center, Inc | Organization | Specialist | Lorain, OH |
| 1013092147 | Sameh Yonan | Individual | Pain Medicine (Anesthesiology) Physician | Lorain, OH |
| 1982892493 | Girgis Emil Girgis | Individual | Anesthesiology Physician | Lorain, OH |
Verify this record
Cross-check NPI 1407034655 against the authoritative CMS record: view Outreach Professional Services Inc. on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Outreach Professional Services Inc.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-01-12.