| Joint Regeneration Llc | |
|
902 Westpoint Pkwy Ste 330 Westlake OH 44145-1568 | |
| (440) 471-4323 | |
| Not Available |
| Full Name | Joint Regeneration Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 902 Westpoint Pkwy Ste 330, Westlake, Ohio |
| Authorized Official Name and Position | Martin Patrick Eynon (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4403419565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joint Regeneration Llc 902 Westpoint Pkwy Ste 330 Westlake OH 44145-1568 Ph: () - | Joint Regeneration Llc 902 Westpoint Pkwy Ste 330 Westlake OH 44145-1568 Ph: (440) 471-4323 |
| NPI Number | 1922734730 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 07/26/2022 |
| Medicare PECOS PAC ID | 1658755202 |
|---|---|
| Medicare Enrollment ID | O20220830004286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922734730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Garren J Decaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326381682 PECOS PAC ID: 1850524802 Enrollment ID: I20160803002363 |
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