Unknown Individual – Family Medicine Physician, NPI 1477529790
Family Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
20525, Center Ridge Road, Rockport, Rocky River, Cuyahoga County, Ohio, 44116, United States
SUITE 220
ROCKY RIVER, OH 44116
Phone: (440) 895-5056
Fax: (440) 333-2935
Type: Mailing
Lakewood Family Health Center, 14601, Detroit Avenue, Lakewood, Cuyahoga County, Ohio, 44107, United States
#360
LAKEWOOD, OH 44107
Phone: (216) 521-9297
Fax: (216) 521-2859
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | OH | |
| Nurse Practitioner | OH | |
| General Surgery, Peripheral Vascular Disease | OH | |
| N E U R O L O G Y | OH | |
| - | OH | |
| Rheumatology, Internal Medicine | OH | |
| Internal Medicine | OH | |
| Physical Therapist In Private Practice | OH | |
| General Surgery | OH | |
| Hand Surgery, General Surgery | OH |
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