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Organization

CLEVELAND ORTHOPEDIC AND SPINE INSTITUTE, LLC

Active
Parent organization
CLEVELAND ORTHOPEDIC AND SPINE INSTITUTE, LLC
Other names
Mark R. Grubb, MD, Inc
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLEVELAND ORTHOPEDIC AND SPINE INSTITUTE, LLC
Authorized official
MARY EBERT (COMPLIANCE OFFICER)
(614) 260-2357
Entity
Organization

Contact information

Practice address
300 ALLEN BRADLEY DR STE 200, MAYFIELD HEIGHTS, OH 44124-6130
(844) 746-8537
Mailing address
300 ALLEN BRADLEY DR STE 200, MAYFIELD HEIGHTS, OH 44124-6130
(407) 307-7652

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207X00000X
Orthopaedic Surgery Physician
261Q00000X
Clinic/Center
Primary
261QP2000X
Physical Therapy Clinic/Center
261QR0200X
Radiology Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
12/20/2023
Last updated
04/14/2025
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