ADMIRAL MEDICAL MANAGEMENT GROUP LLC NPI 1407357742

NPI Information

NPI: 1407357742
Provider Name: ADMIRAL MEDICAL MANAGEMENT GROUP LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3356 GREENS POINTE DR
TWINSBURG, OH
ZIP 44087
Phone: (440) 815-1781
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ADMIRAL MEDICAL MANAGEMENT GROUP LLC is a multi-specialty clinic center in Twinsburg, OH. ADMIRAL MEDICAL MANAGEMENT GROUP LLC NPI is 1407357742. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3356 GREENS POINTE DR
TWINSBURG, OH
ZIP 44087-911
Phone: (440) 815-1781

The provider's authorized official is Ketura Jackson .
The authorized official title is Aprn Cnp and has the following contact phone number (216) 855-7775.

The enumeration date for this NPI number is 2/22/2018 and was last updated on 2/22/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA2000X	Registered Nurse	Administrator	366986	OHIO	No
2	261Q00000X	Clinic/Center			OHIO	No
3	261QM1300X	Clinic/Center	Multi-Specialty		OHIO	Yes
4	261QP2300X	Clinic/Center	Primary Care		OHIO	No

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: 5/5/2024

NPI Synchronization or Removal

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