GREGORY P KEZELE MD LLC – NPI #1417692229
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Health Care Provider Taxonomy Code for Clinic/Center

GREGORY P KEZELE MD LLC is an AHC clinic located in WILLOUGHBY, OH. NPPES has assigned the NPI number 1417692229 to GREGORY P KEZELE MD LLC on May 05, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

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 GREGORY P KEZELE MD LLC below.

NPI Profile for
GREGORY P KEZELE MD LLC

NPI Number
1417692229
Enumeration Date

(more than 4 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
GREGORY P KEZELE MD LLC
Primary location
WOUND CARE CENTER
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Phone: (440) 918-6341 Fax: (440) 918-6342
Mailing address
601 CLINTON LN
HIGHLAND HTS, OH 44143-1962
Phone: (440) 413-0499 Fax: (440) 446-9095
Organization Subpart
No
Authorized Official
GREGORY KEZELE
OWNER
Phone: (440) 413-0499
Updated
Certification Date
Apr 19, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
261QM2500X
- Clinic/Center / Medical Specialty (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.