GEAUGA MEDICAL THERAPY CENTER LLC – NPI #1376911495
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

GEAUGA MEDICAL THERAPY CENTER LLC is a provider located in CHARDON, OH. NPPES has assigned the NPI number 1376911495 to GEAUGA MEDICAL THERAPY CENTER LLC on September 05, 2015. 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 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 10 years ago on Jul 12, 2016. 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 GEAUGA MEDICAL THERAPY CENTER LLC below.

NPI Profile for
GEAUGA MEDICAL THERAPY CENTER LLC

NPI Number
1376911495
Enumeration Date

(about 11 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
GEAUGA MEDICAL THERAPY CENTER LLC
Primary location
13170 RAVENNA RD
SUITE 108
CHARDON, OH 44024-7025
Phone: (440) 409-7055 Fax: (440) 279-4009
Mailing address
125 W MCDOWELL RD
SUITE A
PHOENIX, AZ 85003-1223
Phone: (855) 360-4673 Fax:
Organization Subpart
Yes - GEAUGA MEDICAL THERAPY CENTER LLC is subpart of another organization.
Authorized Official
ZAID FADUL
CEO
Phone: (855) 360-4673
Updated
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
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
261QP2300X
- Clinic/Center / Primary Care
OH 35.122879
261QC1500X
- Clinic/Center / Community Health

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.