SOUTHWEST GENERAL MEDICAL GROUP, INC (NPI# 1205985967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205985967 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST GENERAL MEDICAL GROUP, INC |
| Practice Address |
18780 Bagley Rd # 100 Cleveland OH 44130-3304 |
| Mailing Address |
Po Box 638269 Cincinnati OH 45263-0001 |
| Practice Telephone | 4408162850 |
| Mailing Telephone | 4408162850 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | HEATHER WAGNER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4408164906 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2238144 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780733444 | Southwest General Medical Group, Inc | Internal Medicine | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2007-01-10 |
| Street Address |
18780 BAGLEY RD # 100 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44130-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487880290 | Julie M Such | Nurse Practitioner | 18780 Bagley Rd # 100, Cleveland, OH 44130-3304 | 2009-06-08 |
| 1245434786 | David Ryan | Anesthesiology | 18780 Bagley Rd # 100, Cleveland, OH 44130-3304 | 2007-06-11 |
| 1013121755 | Sultan Zaidan | Physical Medicine & Rehabilitation | 18780 Bagley Rd # 100, Cleveland, OH 44130-3304 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1710916622 | Jerome B Yokiel | Anesthesiology | 4110 Warrensville Center Rd # A241, Cleveland, OH 44122-7024 | 2006-07-02 |
| 1922093087 | Halina M Podlipsky | Anesthesiology | 6701 Rockside Rd Ste 200, Cleveland, OH 44131-2316 | 2005-09-15 |
| 1891393716 | East Tennessee Pain Management Pllc | Anesthesiology | 137 25th St Ne, Cleveland, TN 37311-3944 | 2020-10-13 |
| 1720582976 | Paul E. Pinson Dba/pain and Spine Specialists | Anesthesiology | 3917 Georgetown Rd Nw, Cleveland, TN 37312 | 2018-03-22 |
| 1518278498 | Ilir Elias Veizi | Anesthesiology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2010-06-25 |
| 1841432077 | Jeffrey T Hopcian | Anesthesiology | 4367 Rocky River Dr, Cleveland, OH 44135-2517 | 2009-04-02 |
| 1598920886 | Aman Y Upadhyay | Anesthesiology | 11100 Euclid Ave., Cleveland, OH 44106-1716 | 2008-07-25 |
| 1700059458 | Robert Bolash | Anesthesiology | 9500 Euclid Ave # C25, Cleveland, OH 44195-0001 | 2008-04-02 |
| Find all providers in CLEVELAND | ||||
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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.