SOUTHWEST GENERAL MEDICAL GROUP NPI 1639610702

NPI Information

  • NPI: 1639610702
  • Provider Name: SOUTHWEST GENERAL MEDICAL GROUP
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Organization
  • Address: 18697 BAGLEY RD
    CLEVELAND, OH
    ZIP 44130
  • Phone: (440) 816-8200

Map and Directions

Get Directions

NPI Details

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
1363AM0700XPhysician AssistantMedical50005004OHIOYes

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

NPI Synchronization or Removal

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.