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SOUTHWEST NEUROLOGY INC NPI 1467641977


NPI Information

NPI: 1467641977
Provider Name: SOUTHWEST NEUROLOGY INC
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization

CLIA Number: 36D0669120

Address:
7215 OLD OAK BLVD
A411
CLEVELAND, OH
ZIP 44130
Phone: (440) 826-9221
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SOUTHWEST NEUROLOGY INC is a neuromusculoskeletal medicine sports medicine in Cleveland, OH. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ SOUTHWEST NEUROLOGY INC NPI is 1467641977. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7215 OLD OAK BLVD
A411
CLEVELAND, OH
ZIP 44130-340
Phone: (440) 826-9221
Fax: (440) 816-5399

The provider's authorized official is Kempsager C Ravishankar .
The authorized official title is Physician and has the following contact phone number (440) 826-9221.

The CLIA number assigned to this NPI record is 36D0669120 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/21/2007 and was last updated on 12/8/2017.


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
1204C00000XNeuromusculoskeletal Medicine, Sports Medicine35068631OHIOYes

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
11579165OTHEROHIOCIGNA
27543555OTHEROHIOAETNA INS
3108691OTHEROHIOKAISER INS
4203918OTHEROHIOANTHEM
50946169MEDICAIDOHIO
6P00036566OTHEROHIOMEDICARE RAILROAD
70500150OTHEROHIOUNITED HEATHCARE INS

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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