| Westshore Advanced Medicine Inc | |
|
20455 Lorain Rd Suite T04 Fairview Park OH 44126-3494 | |
| (440) 333-5767 | |
| (440) 333-5768 |
| Full Name | Westshore Advanced Medicine Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20455 Lorain Rd, Fairview Park, Ohio |
| Authorized Official Name and Position | Mohammad Reza (PRESIDENT) |
| Authorized Official Contact | 4403335767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westshore Advanced Medicine Inc Po Box 450923 Westlake OH 44145-0621 Ph: (440) 274-5035 | Westshore Advanced Medicine Inc 20455 Lorain Rd Suite T04 Fairview Park OH 44126-3494 Ph: (440) 333-5767 |
| NPI Number | 1770544850 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 06/29/2011 |
| Medicare PECOS PAC ID | 3173507647 |
|---|---|
| Medicare Enrollment ID | O20040614001537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770544850 | NPI | - | NPPES |
| 3076406 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohammad Reza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720049810 PECOS PAC ID: 8426941550 Enrollment ID: I20040203001119 |
Westshore Primary Care Assoc., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20455 Lorain Rd, Suite 102, Fairview Park, OH 44126 Phone: 440-353-5477 Fax: 440-356-5885 | |
Derma Glow Med Spa Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22237 Lorain Rd, Fairview Park, OH 44126 Phone: 440-641-1406 | |
Massage Heights Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3505 Westgate, D416, Fairview Park, OH 44126 Phone: 440-973-8627 | |
Jeffrey Galvin Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20455 Lorain Rd, Suite 104, Fairview Park, OH 44126 Phone: 440-333-3590 Fax: 440-333-3625 | |
Kevin J Masterson Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20455 Lorain Rd, Suite 102, Fairview Park, OH 44126 Phone: 440-356-5477 Fax: 440-356-5885 | |
Med Consults, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20455 Lorain Rd, #104, Fairview Park, OH 44126 Phone: 440-356-9844 Fax: 440-356-0660 | |
Phyt For Function Cleveland West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4435 W 220th St, Fairview Park, OH 44126 Phone: 216-502-3246 |