MAPLE MEDICAL GROUP INC NPI 1821216490

NPI Information

NPI: 1821216490
Provider Name: MAPLE MEDICAL GROUP, INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
16173 LIBBY RD
MAPLE HEIGHTS, OH
ZIP 44137
Phone: (216) 662-3040
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MAPLE MEDICAL GROUP, INC is a general practice in Maple Heights, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MAPLE MEDICAL GROUP, INC NPI is 1821216490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16173 LIBBY RD
MAPLE HEIGHTS, OH
ZIP 44137-245
Phone: (216) 662-3040

The provider's authorized official is Madhusudan T Sheth .
The authorized official title is President and has the following contact phone number (216) 662-3040.

The enumeration date for this NPI number is 4/21/2007 and was last updated on 10/17/2008.

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	208D00000X	General Practice		35038621	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	DH1085	MEDICARE PIN	OHIO
2	9369761	MEDICARE PIN	OHIO
3	2752490	MEDICAID	OHIO

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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