MARYMOUNT PRIMARY CARE SERVICES, INC. – Family Medicine Physician, NPI 1063606440

MARYMOUNT PRIMARY CARE SERVICES, INC. is a healthcare provider. based in Broadview heights, Ohio. specializing in Family Medicine Physician. The NPI Number for MARYMOUNT PRIMARY CARE SERVICES, INC. is 1063606440

Main info

Organization
Name
MARYMOUNT PRIMARY CARE SERVICES, INC.
NPI
1063606440
Phone
(440) 717-6100
Address
2001 E ROYALTON RD
Authorized Official
PETER P WALCHANOWICZ PRACTICE MANAGER
Enumeration Date
29 August 2007
Last Update Date
27 May 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

Loading map...

Provider Addresses for MARYMOUNT PRIMARY CARE SERVICES, INC.

  • Royalton Road, Brecksville, Cuyahoga County, Ohio, 44141, United States

    BROADVIEW HEIGHTS, OH 441472811

    Phone: (440) 717-6100

    Fax: (440) 546-1382

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44147)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to MARYMOUNT PRIMARY CARE SERVICES, INC.?
NPI 1063606440 is assigned to MARYMOUNT PRIMARY CARE SERVICES, INC. under the national enumeration system.
Is MARYMOUNT PRIMARY CARE SERVICES, INC.'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MARYMOUNT PRIMARY CARE SERVICES, INC. list a primary specialty?
If you are matching referrals, note Family Medicine Physician for MARYMOUNT PRIMARY CARE SERVICES, INC.. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARYMOUNT PRIMARY CARE SERVICES, INC.?
The page summarizes Broadview Heights, Ohio for MARYMOUNT PRIMARY CARE SERVICES, INC.; expand the address list for detail.
Is MARYMOUNT PRIMARY CARE SERVICES, INC. a real provider?
This page reflects official NPPES data for NPI 1063606440. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

KAREN H. RICKERT (DO)

Family Medicine Physician
3933 ASHLEY LAKE RD
NPI: 1699737353

PAUL MARTIN (DO)

Family Medicine Physician
7585 HUNTERS HOLLOW TRL
NPI: 1043273303

MICHAEL E SARIDAKIS (DO)

Family Medicine Physician
885, West Aurora Road, Sagamore Hills, Sagamore Hills Township, Summit County, Ohio, 44067, United States
NPI: 1164462875

DR. BRUCE FURUKAWA (M.D.)

Family Medicine Physician
2379, Hollylane Drive, Broadview Heights, Cuyahoga County, Ohio, 44147, United States
NPI: 1649480195

DR. MATTHEW CARL ANDRESEN (MD)

Family Medicine Physician
Moll Cancer Center, 18200, Lorain Avenue, Kamms Corners, Cleveland, Cuyahoga County, Ohio, 44111, United States
NPI: 1295909539

PAUL RICHARD BURES (D.O.)

Family Medicine Physician
9417 BROADVIEW RD
NPI: 1336300334

KELLI SUZANNE BUCKNER (DO)

Family Medicine Physician
16888 HARVARD AVE
NPI: 1417269622

DR. LUCY KATHLEEN O'BRIEN (D.O.)

Family Medicine Physician
1350 W Bagley Rd
NPI: 1487911814