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WESTSHORE PRIMARY CARE ASSOC INC NPI 1609983600


NPI Information

NPI: 1609983600
Provider Name: WESTSHORE PRIMARY CARE ASSOC INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5323 MEADOW LANE
ELYRIA, OH
ZIP 44035
Phone: (440) 934-0276
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WESTSHORE PRIMARY CARE ASSOC INC is a family medicine in Elyria, 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. WESTSHORE PRIMARY CARE ASSOC INC NPI is 1609983600. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5323 MEADOW LANE
ELYRIA, OH
ZIP 44035
Phone: (440) 934-0276
Fax: (440) 934-0272

The provider's authorized official is Misty A Blaylock .
The authorized official title is Credentialing Coordinator and has the following contact phone number (440) 892-6406.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 1/12/2010.


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
1208000000XPediatricsNo
2207Q00000XFamily MedicineYes

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
10858077MEDICAIDOHIO
29243865MEDICARE 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: 4/28/2024

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