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SOUTHWEST GENERAL MEDICAL GROUP INC NPI 1205985967


NPI Information

NPI: 1205985967
Provider Name: SOUTHWEST GENERAL MEDICAL GROUP, INC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
18780 BAGLEY RD # 100
CLEVELAND, OH
ZIP 44130
Phone: (440) 816-2850
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SOUTHWEST GENERAL MEDICAL GROUP, INC is a pain medicine anesthesiology in Cleveland, OH. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. SOUTHWEST GENERAL MEDICAL GROUP, INC NPI is 1205985967. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18780 BAGLEY RD # 100
CLEVELAND, OH
ZIP 44130-304
Phone: (440) 816-2850

The provider's authorized official is Heather Wagner .
The authorized official title is Executive Director and has the following contact phone number (440) 816-4906.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 2/28/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineNo
2207LP2900XAnesthesiologyPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12238144MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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