WILLOUGHBY MEDICAL OFFICES – NPI #1174681183
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

WILLOUGHBY MEDICAL OFFICES is an AHC clinic located in WILLOUGHBY, OH. NPPES has assigned the NPI number 1174681183 to WILLOUGHBY MEDICAL OFFICES on December 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WILLOUGHBY MEDICAL OFFICES” is a dba name, the actual legal business name for this organization is KAISER FOUNDATION HEALTH PLAN. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 14 years ago on Jul 19, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILLOUGHBY MEDICAL OFFICES below.

NPI Profile for
KAISER FOUNDATION HEALTH PLAN

NPI Number
1174681183
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KAISER FOUNDATION HEALTH PLAN
Doing Business As (dba): WILLOUGHBY MEDICAL OFFICES
Primary location
5105 SOM CENTER ROAD
WILLOUGHBY, OH 44094
Phone: (216) 265-8844 Fax: (216) 265-8890
Mailing address
12301 SNOW ROAD
PARMA, OH 44130
Phone: (216) 265-8844 Fax: (216) 265-8890
Organization Subpart
No
Authorized Official
CRAIG FAERBER
VP CFO
Phone: (216) 265-8844
Updated
Identifiers

Identifiers for WILLOUGHBY MEDICAL OFFICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH0211372
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.