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BOW TIE MEDICAL OHIO LLC NPI 1811328065


NPI Information

NPI: 1811328065
Provider Name: BOW TIE MEDICAL OHIO, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 36D2083211

Address:
7500 TOWN CENTRE DR STE 200
BROADVIEW HEIGHTS, OH
ZIP 44147
Phone: (877) 283-8863
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BOW TIE MEDICAL OHIO, LLC is a general practice in Broadview Heights, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BOW TIE MEDICAL OHIO, LLC NPI is 1811328065. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7500 TOWN CENTRE DR STE 200
BROADVIEW HEIGHTS, OH
ZIP 44147-029
Phone: (877) 283-8863
Fax: (213) 784-5670

The provider's authorized official is Firouz Daneshgari .
The authorized official title is Ceo/cmo and has the following contact phone number (877) 283-8663.

The CLIA number assigned to this NPI record is 36D2083211 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2013 and was last updated on 1/20/2022.


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
1208D00000XGeneral PracticeYes

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

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.