Organization
MEDUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGIY GRYGORIEV (RN,BSN)
(216) 548-9129
Entity
Organization
Contact information
Practice address
6789 RIDGE RD STE 106, PARMA, OH 44129-5635
(440) 875-5090
Mailing address
3399 HETZEL DR, PARMA, OH 44134-5119
(440) 875-5090
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
04/20/2026
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