CUSTOMCARE MD LLC – NPI #1093904476
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

CUSTOMCARE MD LLC is a provider located in SOUTH EUCLID, OH. NPPES has assigned the NPI number 1093904476 to CUSTOMCARE MD LLC on October 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 18 years ago on Feb 18, 2008. 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 CUSTOMCARE MD LLC below.

NPI Profile for
CUSTOMCARE MD LLC

NPI Number
1093904476
Enumeration Date

(more than 18 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
CUSTOMCARE MD LLC
Primary location
1611 S GREEN RD
SUITE 213
SOUTH EUCLID, OH 44121-4128
Phone: (216) 381-1520 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TODD LOCKE
PARTNER
Phone: (216) 381-1520
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
207R00000X
- Internal Medicine (Primary)		 OH 52123

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.