WESTSHORE PRIMARY CARE ASSOC INC – NPI #1295842284
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

WESTSHORE PRIMARY CARE ASSOC INC is a provider located in AVON LAKE, OH. NPPES has assigned the NPI number 1295842284 to WESTSHORE PRIMARY CARE ASSOC INC on August 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on Jan 12, 2010. 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 WESTSHORE PRIMARY CARE ASSOC INC below.

NPI Profile for
WESTSHORE PRIMARY CARE ASSOC INC

NPI Number
1295842284
Enumeration Date

(about 20 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
WESTSHORE PRIMARY CARE ASSOC INC
Primary location
32730 WALKER ROAD
BUILDING H
AVON LAKE, OH 44012
Phone: (440) 930-4955 Fax: (440) 930-4960
Mailing address
26908 DETROIT RD
SUITE 301
WESTLAKE, OH 44145-2398
Phone: (440) 617-1823 Fax: (440) 617-0884
Organization Subpart
No
Authorized Official
MISTY BLAYLOCK
CREDENTIALING COORDINATOR
Phone: (440) 892-6406
Updated
Identifiers

Identifiers for WESTSHORE PRIMARY CARE ASSOC INC

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
MEDICAIDOH0858077
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
207Q00000X
- Family Medicine (Primary)
208000000X
- Pediatrics
207R00000X
- Internal Medicine

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.