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

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NPI Details

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 - ed/amb dept 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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