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Carmalita R Gendraw

Driver β€’ Willoughby, OH

Active NPI 1699437772 Individual Practitioner Female Practitioner
Practice location in NPPES

38360 Tamarac Blvd Apt 101
Willoughby, OH 440948115

Call 2167046640 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

38360 Tamarac Blvd Apt 101

Willoughby, OH 440948115

Telephone 2167046640
Organization at the Same NPPES Address or Phone
Carmalita Transport Service; Llc Facility NPI 1649068719

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Willoughby and Ohio

4 active clinicians are listed under Driver with a practice address in Willoughby, OH (1,266 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-29
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

License # reported to NPPES OH RU778241

A person employed to operate a motor vehicle as a carrier of persons or property.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 29, 2025

Registered at 38360 TAMARAC BLVD APT 101, WILLOUGHBY, OH 440948115 (Tel: 2167046640)

πŸ“
Updated Business Mailing Address April 29, 2025

Registered at 38360 TAMARAC BLVD APT 101, WILLOUGHBY, OH 440948115 (Tel: 2167046640)

βœ…
NPI Profile Active October 06, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 06, 2021

Registered at 22140 EUCLID AVE APT 508, EUCLID, OH 441171614 (Tel: 2167046640)

πŸ“
Business Mailing Address (Initial Record) October 06, 2021

Registered at 22140 EUCLID AVE APT 508, EUCLID, OH 441171614 (Tel: 2167046640)

πŸ‘€
Provider Name / Credentials (Initial Record) October 06, 2021

Recorded as CARMALITA GENDRAW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2021

Driver (license number reported to NPPES: OH RU778241)

🟒
Initial NPI Registration & Enumeration October 06, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699437772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2021
Last Update: April 29, 2025
Sole Proprietor: No

Mailing Address

38360 Tamarac Blvd Apt 101

Willoughby, OH 440948115

Phone: 2167046640

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.