1932392040 NPI number — MERIDIA MEDICAL GROUP LLC

Table of content: (NPI 1932392040)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932392040 NPI number — MERIDIA MEDICAL GROUP LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MERIDIA MEDICAL GROUP LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932392040
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
275 SPRINGSIDE DR
Provider Second Line Business Mailing Address:
SUITE100
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44333-4548
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
234-466-4083
Provider Business Mailing Address Fax Number:
866-211-7728

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12000 MCCRACKEN RD
Provider Second Line Business Practice Location Address:
SUITE 108
Provider Business Practice Location Address City Name:
GARFIELD HEIGHTS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44125-2964
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-475-1551
Provider Business Practice Location Address Fax Number:
216-261-1644
Provider Enumeration Date:
08/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
O'CONNELL
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
V.P OF OPERATIONS
Authorized Official Telephone Number:
216-761-3300

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  34001608T , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2716083 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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