EDMOND WILLIAM BLADES


Address: 30701 Clemens Road, Westlake, OH 44145
Phone: 4406171212

EDMOND WILLIAM BLADES (NPI# 1245258680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245258680
Entity Type Individual
Full Name EDMOND WILLIAM BLADES
Credential MD
Practice Address 30701 Clemens Road
Westlake
OH 44145
Practice Telephone 4406171212
Practice Fax Number 4406171213
Mailing Telephone 4406171212
Mailing Fax Number 4406171213
Enumeration Date 2006-07-17
Last Update Date 2015-08-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
35050649 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH RAILROAD MEDICARE 100009805 01
OH 0698311 05

Office Location

Street Address 30701 CLEMENS ROAD
City WESTLAKE
State OH
Zip Code 44145

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710120688 North Ohio Endoscopy Center LLC Clinic/Center 30701 Clemens Road, Westlake, OH 44145 2009-04-08
1891942579 North Ohio Gastroenterology Specialist 30701 Clemens Road, Westlake, OH 44145 2008-08-25

Providers in the same zip code

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 Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578760211 Noma Dakhil Internal Medicine 30701 Clemens Rd., Westlake, OH 44145 2007-06-27
1801818646 Khaled Issa Internal Medicine 30701 Clemens Rd, Westlake, OH 44145-1074 2006-07-24
1104269679 Jacob Sadik Internal Medicine 30701 Clemens Rd, Westlake, OH 44145-1074 2013-04-15
1831485028 Jonathan Dale Umbel Internal Medicine 29000 Center Ridge Rd, Suite 150, Westlake, OH 44145-5293 2011-06-26
1417272113 Rinjal D Brahmbhatt Internal Medicine 850 Columbia Rd Ste 200, Westlake, OH 44145-7215 2010-04-06
1811130222 Kimberly Anne Harris Internal Medicine 850 Columbia Rd, Suite 200, Westlake, OH 44145-1493 2009-04-15
1750572749 Preeti Jhawar Internal Medicine 850 Columbia Rd Ste 200, Westlake, OH 44145-7215 2007-08-06
1760565857 Jason F Vollweiler Internal Medicine 850 Columbia Rd, Suite 200, Westlake, OH 44145-1493 2006-10-23
1467474585 North Shore Endoscopy Center, Ltd Internal Medicine 850 Columbia Rd, Suite 200, Westlake, OH 44145-1493 2006-07-25
1083636856 Robert F Straub Internal Medicine 850 Columbia Rd, 200, Westlake, OH 44145 2006-07-24
Find all providers in WESTLAKE

Competitor

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City WESTLAKE
Zip Code 44145

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Dataset Information

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.

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