| Elite Medical Practice, Llc | |
|
21851 Center Ridge Rd Ste 109 Rocky River OH 44116-3901 | |
| (440) 331-5488 | |
| (440) 331-3790 |
| Full Name | Elite Medical Practice, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21851 Center Ridge Rd Ste 109, Rocky River, Ohio |
| Authorized Official Name and Position | Emile Sabbagh (MD/OWNER) |
| Authorized Official Contact | 4403315488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical Practice, Llc Po Box 771508 Lakewood OH 44107-0060 Ph: (440) 331-5488 | Elite Medical Practice, Llc 21851 Center Ridge Rd Ste 109 Rocky River OH 44116-3901 Ph: (440) 331-5488 |
| NPI Number | 1730674037 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 06/28/2018 |
| Medicare PECOS PAC ID | 9931458999 |
|---|---|
| Medicare Enrollment ID | O20180823003106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730674037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35.082908 (Ohio) | Primary |
| Provider Name | Emile I Sabbagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831165521 PECOS PAC ID: 6608846944 Enrollment ID: I20040726001413 |
| Provider Name | Laura C Pauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639553191 PECOS PAC ID: 9436465978 Enrollment ID: I20150831000286 |
| Provider Name | Laura Gienke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295186757 PECOS PAC ID: 9638467350 Enrollment ID: I20161013000444 |
| Provider Name | Manjola Lamcaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598366197 PECOS PAC ID: 3375954993 Enrollment ID: I20201202002254 |
| Provider Name | Sydney A Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881321396 PECOS PAC ID: 2466837380 Enrollment ID: I20220913003423 |
Cleveland Kidney Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Eleven Riv, Rocky River, OH 44116 Phone: 216-401-8323 | |
Lakeshore Heart, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21851 Center Ridge Rd, Suite 200, Rocky River, OH 44116 Phone: 440-333-0060 Fax: 440-333-0065 | |
Kishor Patel Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21851 Center Ridge Rd, Suite 405, Rocky River, OH 44116 Phone: 440-333-5822 Fax: 440-333-5824 | |
Jensam Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21851 Center Ridge Rd Ste 107, Rocky River, OH 44116 Phone: 216-221-7642 | |
Goodside Health Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20575 Center Ridge Rd Ste 112, Rocky River, OH 44116 Phone: 281-203-5006 | |
Kishor Patel Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21851 Center Ridge Rd, 405, Rocky River, OH 44116 Phone: 440-333-5822 Fax: 440-333-5824 |