| Northeast Ohio Practitioner Llc | |
|
6681 Ridge Rd Ste 300 Parma OH 44129-5705 | |
| (440) 842-8675 | |
| (440) 842-1299 |
| Full Name | Northeast Ohio Practitioner Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 6681 Ridge Rd Ste 300, Parma, Ohio |
| Authorized Official Name and Position | Kourosh Saghafi (PRESIDENT) |
| Authorized Official Contact | 2168428675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Ohio Practitioner Llc 6681 Ridge Rd Ste 300 Parma OH 44129-5705 Ph: (440) 842-8675 | Northeast Ohio Practitioner Llc 6681 Ridge Rd Ste 300 Parma OH 44129-5705 Ph: (440) 842-8675 |
| NPI Number | 1831681014 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 03/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831681014 | NPI | - | NPPES |
| 4171215 | Other | OH | BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 4171215 (Ohio) | Primary |
Ohio Permanente Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12301 Snow Rd, Parma, OH 44130 Phone: 216-265-8810 Fax: 216-265-8890 | |
Shoreway Family Practice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6739 Ridge Road, Parma, OH 44129 Phone: 440-887-9605 Fax: 440-887-9606 | |
Smart Quest Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5357 Broadview Rd, Parma, OH 44134 Phone: 216-273-7450 Fax: 216-239-0683 | |
Yong Jae Song Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6731 Ridge Rd, Suite 302, Parma, OH 44129 Phone: 440-843-7772 Fax: 440-845-0430 | |
Ohio Wound Care Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6789 Ridge Rd Ste 305, Parma, OH 44129 Phone: 323-434-9441 Fax: 323-433-9177 | |
Raisa Lerner Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 Rockside Rd, Suite 215 A, Parma, OH 44134 Phone: 216-398-4898 Fax: 216-398-4884 | |
Daniela Susoiu Tcaciuc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6681 Ridge Rd, Suite 400, Parma, OH 44129 Phone: 440-743-2450 Fax: 440-743-2451 |