| Cv Medical Services, Llc | |
|
3755 Orange Pl Ste 105 Beachwood OH 44122 | |
| (216) 765-0358 | |
| (216) 765-0378 |
| Full Name | Cv Medical Services, Llc |
|---|---|
| Speciality | Physician Assistant |
| Location | 3755 Orange Pl Ste 105, Beachwood, Ohio |
| Authorized Official Name and Position | Debbie Harris (COO) |
| Authorized Official Contact | 2167650358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cv Medical Services, Llc 3755 Orange Pl Ste 105 Beachwood OH 44122-4426 Ph: (216) 765-0358 | Cv Medical Services, Llc 3755 Orange Pl Ste 105 Beachwood OH 44122 Ph: (216) 765-0358 |
| NPI Number | 1548405665 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 09/19/2019 |
| Medicare PECOS PAC ID | 0042368227 |
|---|---|
| Medicare Enrollment ID | O20090427000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548405665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Provider Name | John J Fitzgerald |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518984004 PECOS PAC ID: 2769389618 Enrollment ID: I20040416000060 |
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