WESTSHORE PRIMARY CARE ASSOC., INC. (NPI# 1154599504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154599504 |
| Entity Type | Organization |
| Organization Name | WESTSHORE PRIMARY CARE ASSOC., INC. |
| Practice Address |
28575 Westlake Village Dr Westlake OH 44145-3883 |
| Mailing Address |
26908 Detroit Rd Suite 301 Westlake OH 44145-2398 |
| Practice Telephone | 4408924200 |
| Mailing Telephone | 4406171823 |
| Mailing Fax Number | 4406170884 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2010-01-12 |
| Authorized Official Name | MISTY A BLAYLOCK (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4408926406 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0858077 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255688644 | Westshore Primary Care Assoc., Inc. | Obstetrics & Gynecology | 552 N Leavitt Rd, Amherst, OH 44001-1131 | 2012-08-06 |
| 1023359023 | Westshore Primary Care Assoc., Inc. | Family Medicine | 20455 Lorain Rd, Suite 102, Fairview Park, OH 44126-3494 | 2013-03-15 |
| 1497037691 | Westshore Primary Care Assoc., Inc. | Obstetrics & Gynecology | 29160 Center Ridge Rd, Suite M, Westlake, OH 44145-5225 | 2011-09-13 |
| 1013210079 | Westshore Primary Care Assoc., Inc. | Obstetrics & Gynecology | 29325 Health Campus Dr, Suite 1, Westlake, OH 44145-8201 | 2010-12-14 |
| 1942503909 | Westshore Primary Care Assoc., Inc. | Obstetrics & Gynecology | 29101 Health Campus Dr, Suite 250, Westlake, OH 44145-5270 | 2010-12-14 |
| 1033434998 | Westshore Primary Care Assoc., Inc. | Internal Medicine | 7215 Old Oak Blvd, Suite A420, Middleburg Heights, OH 44130-3340 | 2010-04-05 |
| 1992034516 | Westshore Primary Care Assoc., Inc. | Dermatology | 32900 Detroit Rd, Avon, OH 44011-2018 | 2009-12-10 |
| 1548593361 | Westshore Primary Care Assoc., Inc. | Family Medicine | 33398 Walker Rd, Suite C, Avon Lake, OH 44012-1496 | 2009-09-11 |
| Street Address |
28575 WESTLAKE VILLAGE DR |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145-3883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
| 1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
| 1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
| 1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
| 1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
| 1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
| 1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
| 1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
| 1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
| 1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
| Find all providers in zip 44145 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538647896 | Walden Healthcare, LLC. | Internal Medicine | 25200 Center Ridge Rd Ste 2301, Westlake, OH 44145-4141 | 2018-07-30 |
| 1538561006 | Prasanna Manjini Sengodan | Internal Medicine | 27411 Detroit Rd, Apt G24, Westlake, OH 44145-2284 | 2014-09-16 |
| 1457618456 | Gene Schwartz | Internal Medicine | 1301 Solona Blvd Ste 2200, Westlake, TX 76262-1769 | 2012-04-13 |
| 1538471610 | Sobia Khan | Internal Medicine | 25867 Kensington Dr, Westlake, OH 44145-1473 | 2010-07-06 |
| 1023343498 | Geoffrey Neil Champagne | Internal Medicine | 28367 Center Ridge Rd, Apartment B-23, Westlake, OH 44145-3868 | 2009-10-02 |
| 1174755953 | Faisal R Khan | Internal Medicine | 1301 Solana Blvd Ste 2200, Westlake, TX 76262-1769 | 2009-08-12 |
| 1477708154 | Megan Edmonsond | Internal Medicine | 27865 Clemens Rd, Westlake, OH 44145-1167 | 2008-11-23 |
| 1730373325 | Omar Malick | Internal Medicine | 1719 Settlers Reserve Way, Westlake, OH 44145-2044 | 2007-08-28 |
| 1295857423 | University Primary Care Practices Inc | Internal Medicine | 26908 Detroit Rd Ste 200, Westlake, OH 44145 | 2007-04-06 |
| 1093839490 | Westlake Medical Associates, Inc. | Internal Medicine | 26314 Center Ridge Rd, Westlake, OH 44145-4028 | 2007-03-19 |
| Find all providers in WESTLAKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.