Organization
OSH-OH PHYSICIANS GROUP PC
Active
Other names
OSH-OH Physicians Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRANCE MORTON MD (CMO)
(704) 607-4835
Entity
Organization
Contact information
Practice address
10688 LORAIN AVE, CLEVELAND, OH 44111-5411
(216) 682-7703
(216) 236-7768
Mailing address
PO BOX 746071, ATLANTA, GA 30374-6071
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
213E00000X
Podiatrist
—
—
261QP2300X
Primary Care Clinic/Center
Primary
35127855
OH
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4110564
LLC LICENSE NUMBER
OH
Enumeration date
04/10/2018
Last updated
11/17/2025
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