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EATING DISORDER MEDICAL SPECIALISTS OF CLEVELAND LLC NPI 1215280029


NPI Information

NPI: 1215280029
Provider Name: EATING DISORDER MEDICAL SPECIALISTS OF CLEVELAND LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 36D2049839

Address:
25550 CHAGRIN BLVD
207
BEACHWOOD, OH
ZIP 44122
Phone: (216) 765-0500
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EATING DISORDER MEDICAL SPECIALISTS OF CLEVELAND LLC is a pediatrics in Beachwood, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. EATING DISORDER MEDICAL SPECIALISTS OF CLEVELAND LLC NPI is 1215280029. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25550 CHAGRIN BLVD
207
BEACHWOOD, OH
ZIP 44122-638
Phone: (216) 765-0500
Fax: (216) 765-0521

The provider's authorized official is Machelle Giordon .
The authorized official title is Credentialing and has the following contact phone number (330) 723-2111.

The CLIA number assigned to this NPI record is 36D2049839 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2012 and was last updated on 10/17/2012.


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
1208000000XPediatrics35083837OHIOYes

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: 11/14/2023

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