HACKETT MEDICAL LTD NPI 1114071206

NPI Information

  • NPI: 1114071206
  • Provider Name: HACKETT MEDICAL LTD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 8300 TYLER BLVD
    SUITE 300
    MENTOR, OH
    ZIP 44060
  • Phone: (440) 205-1529

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NPI Details

HACKETT MEDICAL LTD is a family medicine in Mentor, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HACKETT MEDICAL LTD NPI is 1114071206. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8300 TYLER BLVD
SUITE 300
MENTOR, OH
ZIP 44060-217
Phone: (440) 205-1529
Fax: (440) 205-0840

The provider's authorized official is Martha Nofziger Hackett .
The authorized official title is Owner Hackett Medical Ltd. and has the following contact phone number (440) 205-1529.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 9/11/2025.

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
1207Q00000XFamily Medicine35043939OHIOYes

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 Other Provider Identifier Issuer
12178905MEDICAIDOHIO

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: 11/21/2025

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