Organization
CLINIC REGIONAL PHYSICIANS LLC
Active
Parent organization
CLEVELAND CLINIC FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEVELAND CLINIC FOUNDATION
Authorized official
MR. JEFF JONES (REGIONAL VICE PRESIDENT OF FINANCE)
(216) 448-1200
Entity
Organization
Contact information
Practice address
25875 SCIENCE PARK DR, AC1-2-108, BEACHWOOD, OH 44122-7304
(216) 448-0111
(216) 448-0617
Mailing address
PO BOX 77028, CLEVELAND, OH 44194-7028
(216) 448-0111
(216) 448-0617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2902381
—
OH
01
—
DO1231
MEDICARE RR
OH
Enumeration date
06/10/2008
Last updated
02/23/2009
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