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CLEVELAND COMMUNITY PHYSICIANS INC NPI 1578880431


NPI Information

NPI: 1578880431
Provider Name: CLEVELAND COMMUNITY PHYSICIANS INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D0667424

Address:
398 W BAGLEY RD
SUITE 1
BEREA, OH
ZIP 44017
Phone: (440) 816-1120
Get Directions

CLEVELAND COMMUNITY PHYSICIANS INC is a family medicine in Berea, 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. CLEVELAND COMMUNITY PHYSICIANS INC NPI is 1578880431. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

398 W BAGLEY RD
SUITE 1
BEREA, OH
ZIP 44017-369
Phone: (440) 816-1120
Fax: (440) 816-1022

The provider's authorized official is Mark Mcloney .
The authorized official title is President and has the following contact phone number (440) 816-1120.

The CLIA number assigned to this NPI record is 36D0667424 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/30/2010 and was last updated on 2/15/2013.


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
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3207RP1001XInternal MedicinePulmonary DiseaseNo

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
13088699MEDICAIDOHIO
29389381MEDICARE PINOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.