Organization
NORTH OHIO HEART CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY EDWARD THOME (CHIEF FINANCIAL OFFICER)
(440) 930-4400
Entity
Organization
Contact information
Practice address
3600 KOLBE RD, SUITE 127, LORAIN, OH 44053-1654
(440) 204-4000
(440) 282-7579
Mailing address
1220 MOORE RD, SUITE B, AVON, OH 44011-4044
(440) 930-4446
(440) 934-0682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207VG0400X
Gynecology Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0547859
—
OH
01
—
CB7049
RAILROAD MEDICARE GROUP
—
Enumeration date
02/01/2006
Last updated
07/26/2010
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