GEAUGA SPORTS MEDICINE, LLC – NPI #1396746970
Preventive Medicine
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
GEAUGA SPORTS MEDICINE, LLC is a provider located in CHARDON, OH. NPPES has assigned the NPI number 1396746970 to GEAUGA SPORTS MEDICINE, LLC on August 09, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2083S0010X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Sports Medicine
The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 SPORTS MEDICINE, LLC below.
NPI Profile for
GEAUGA SPORTS MEDICINE, LLC
(about 21 years ago)
CHARDON, OH 44024-7032 Phone: (440) 285-6452 Fax: (440) 285-1796
CHAGRIN FALLS, OH 44022-0567 Phone: (216) 464-5160 Fax: (216) 464-5982
PRESIDENT
Phone: (440) 285-6452
Identifiers for GEAUGA SPORTS MEDICINE, 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | RR MEDICARE | OH | 250006704 |
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 |
|---|---|---|
| 2083S0010X - Preventive Medicine / Sports Medicine (Primary) |
OH |
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.