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Outreach Professional Services Inc

Sports Medicine (Internal Medicine) Physician in Solon, OH · enumerated 2007 · authorized official Misty Blaylock, Credentialing Coordinator.

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

National Provider Identifier

1770765380

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Registry record

Entity type Organization (Type 2)
Legal business name Outreach Professional Services Inc
Other name <Unavail>
Practice address 33141 Bainbridge Rd, Solon, OH, 44139
Fax (440) 349-4026
Enumeration date Dec 5, 2007
Last updated in NPPES Jan 12, 2010

Taxonomy & classification

207RS0010X Sports Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Primary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Secondary

Authorized official

Name Misty Blaylock
Title Credentialing Coordinator

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

Where is Outreach Professional Services Inc located?
The practice location on file with NPPES is in Solon, OH.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-01-12. Verify at npiregistry.cms.hhs.gov.

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