WESTSHORE PRIMARY CARE ASSOC INC NPI 1801903802

NPI Information

  • NPI: 1801903802
  • Provider Name: WESTSHORE PRIMARY CARE ASSOC INC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 25761 LORAIN RD
    2ND FL
    NORTH OLMSTED, OH
    ZIP 44070
  • Phone: (440) 716-8988

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NPI Details

WESTSHORE PRIMARY CARE ASSOC INC is an internal medicine in North Olmsted, OH. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WESTSHORE PRIMARY CARE ASSOC INC NPI is 1801903802. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

25761 LORAIN RD
2ND FL
NORTH OLMSTED, OH
ZIP 44070
Phone: (440) 716-8988
Fax: (440) 716-8990

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2208000000XPediatricsNo
3207R00000XInternal 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19243869MEDICARE PINOHIO
20858077MEDICAIDOHIO

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: 3/30/2025

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