Organization
HNI MEDICAL SERVICES OF OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD PEW (VP OF OPERATIONS)
(512) 730-3060
Entity
Organization
Contact information
Practice address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 542-5000
Mailing address
30575 BAINBRIDGE RD STE 200, CLEVELAND, OH 44139-2275
(440) 542-5000
(440) 542-5005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033254
—
OH
Enumeration date
01/17/2019
Last updated
04/29/2025
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