NORTHEAST OHIO PRACTITIONER LLC – NPI #1831681014
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

NORTHEAST OHIO PRACTITIONER LLC is a provider located in PARMA, OH. NPPES has assigned the NPI number 1831681014 to NORTHEAST OHIO PRACTITIONER LLC on June 04, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 7 years ago on Mar 13, 2019. 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 NORTHEAST OHIO PRACTITIONER LLC below.

NPI Profile for
NORTHEAST OHIO PRACTITIONER LLC

NPI Number
1831681014
Enumeration Date

(more than 8 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
NORTHEAST OHIO PRACTITIONER LLC
Primary location
6681 RIDGE RD STE 300
PARMA, OH 44129-5705
Phone: (440) 842-8675 Fax: (440) 842-1299
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KOUROSH SAGHAFI
PRESIDENT
Phone: (216) 842-8675
Updated
Identifiers

Identifiers for NORTHEAST OHIO PRACTITIONER LLC

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
OTHERBUSINESS LICENSEOH4171215
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
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
OH 4171215

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.