SOUTHWEST GENERAL MEDICAL GROUP NPI 1639610702

NPI Information

NPI: 1639610702
Provider Name: SOUTHWEST GENERAL MEDICAL GROUP
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
18697 BAGLEY RD
CLEVELAND, OH
ZIP 44130
Phone: (440) 816-8200
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SOUTHWEST GENERAL MEDICAL GROUP is a medical physician assistant in Cleveland, OH. SOUTHWEST GENERAL MEDICAL GROUP NPI is 1639610702. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18697 BAGLEY RD
CLEVELAND, OH
ZIP 44130-417
Phone: (440) 816-8200
Fax: (440) 816-8197

The provider's authorized official is Heather Wagner .
The authorized official title is Executive Director and has the following contact phone number (440) 816-4906.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 2/28/2019.

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
1	363AM0700X	Physician Assistant	Medical	50005004	OHIO	Yes

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

NPI Synchronization or Removal

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