WESTSHORE PRIMARY CARE ASSOC INC (NPI# 1295842284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295842284 |
| Entity Type | Organization |
| Organization Name | WESTSHORE PRIMARY CARE ASSOC INC |
| Practice Address |
32730 Walker Road Building H Avon Lake OH 44012 |
| Mailing Address |
26908 Detroit Rd Suite 301 Westlake OH 44145-2398 |
| Practice Telephone | 4409304955 |
| Practice Fax Number | 4409304960 |
| Mailing Telephone | 4406171823 |
| Mailing Fax Number | 4406170884 |
| Enumeration Date | 2006-08-24 |
| 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 |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0858077 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609983600 | Westshore Primary Care Assoc Inc | Pediatrics | 5323 Meadow Lane, Elyria, OH 44035 | 2006-08-24 |
| 1790892792 | Westshore Primary Care Assoc Inc | Family Medicine | 29325 Health Campus Dr, Ste 2, Westlake, OH 44145 | 2006-08-24 |
| 1689781650 | Westshore Primary Care Assoc Inc | Pediatrics | 34960 Center Ridge Rd, North Ridgeville, OH 44039 | 2006-08-24 |
| 1356458327 | Westshore Primary Care Assoc Inc | Family Medicine | 26908 Detroit Rd, Ste 200, Westlake, OH 44145 | 2006-08-24 |
| 1063529030 | Westshore Primary Care Assoc Inc | Dermatology | 2535 Hale St, Suite A, Avon, OH 44011 | 2006-08-24 |
| 1770690760 | Westshore Primary Care Assoc Inc | Internal Medicine | 5343 Meadow Lane Ct, Sheffield Village, OH 44035-1469 | 2006-08-24 |
| 1801903802 | Westshore Primary Care Assoc Inc | Family Medicine | 25761 Lorain Rd, 2nd Fl, North Olmsted, OH 44070 | 2006-08-24 |
| Street Address |
32730 WALKER ROAD BUILDING H |
| City | AVON LAKE |
| State | OH |
| Zip Code | 44012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743352 | Wyatt Demarco Massage Therapy & Wellness Center | Massage Therapist | 690 Avon Belden Rd, 2c, Avon Lake, OH 44012 | 2019-01-04 |
| 1659789915 | Self | Home Health | 33803 Electric Blvd, E4, Avonlake, OH 44012 | 2014-07-30 |
| 1427489566 | Thomas Gerosky, D.m.d. Inc | Dentist | 215 Miller Road, Avon Lake, OH 44012 | 2013-11-27 |
| 1558619676 | Lindsay Stein | Counselor | 156a Lear Rd, Avon Lake, OH 44012 | 2012-08-21 |
| 1023388063 | Jennifer Lynn Dorman | Dietitian, Registered | 167 Belmar Boulevard, Avon Lake, OH 44012 | 2012-01-09 |
| 1033495338 | Jessica Rae Wyatt | Massage Therapist | 690 Avon Belden Rd Ste 2c, Avon Lake, OH 44012 | 2011-10-31 |
| 1841599248 | Robin M Hale | Counselor | 32831 Redwood Blvd, Avon Lake, OH 44012 | 2011-03-24 |
| 1265551766 | Robert Day Monroe | Podiatrist | 32118 Augusta Dr, Avon Lake, OH 44012 | 2007-03-28 |
| 1194822908 | John Secrest Pyke IIi | Dentist | 33399 Walker Rd, Suite D, Avon Lake, OH 44012 | 2006-09-20 |
| 1316974751 | Sandra M Drotos | Occupational Therapist | 533 Bayhill Drive, Suite 108, Avon Lake, OH 44012 | 2006-06-28 |
| Find all providers in zip 44012 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740253400 | Paul Gary Heyslinger | Family Medicine | 228 Miller Rd, Avon Lake, OH 44012 | 2006-02-10 |
| 1275539165 | Florence Beth Matyas | Family Medicine | 33398 Walker Rd, Avon Lake, OH 44012-1496 | 2005-06-24 |
| 1548593361 | Westshore Primary Care Assoc., Inc. | Family Medicine | 33398 Walker Rd, Suite C, Avon Lake, OH 44012-1496 | 2009-09-11 |
| 1184616682 | Michael J Rish | Family Medicine | 32730 Walker Rd, Building H, Avon Lake, OH 44012-4100 | 2005-08-19 |
| 1619969110 | Monique A Richardson | Family Medicine | 32730 Walker Rd, Building H, Avon Lake, OH 44012-4100 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948667 | Grace Laszlo | Family Medicine | 2385 Creek View Pl, Grove City, OH 43123-1518 | 2020-09-29 |
| 1396350138 | Kelly Crego-lee | Family Medicine | 321 Neal Rd, Saint Paris, OH 43072-9305 | 2020-09-09 |
| 1669087524 | Deanna Tiffiene Thompson | Family Medicine | 895 Slagle Pl, Galloway, OH 43119-8821 | 2020-09-08 |
| 1982218145 | Kara Day | Family Medicine | 5867 Dantawood Ln, Liberty Twp, OH 45044-1309 | 2020-09-04 |
| 1669086260 | Family Care Plus Clinic LLC | Family Medicine | 4490 Darrow Rd, Stow, OH 44224-1885 | 2020-09-02 |
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1588277669 | Sarah Elizabeth Ruth Wilcox | Family Medicine | 3146 Grange Hill Pl, Dublin, OH 43017-1794 | 2020-08-28 |
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1154933463 | Amanda Taylor Greenrod | Family Medicine | 11010 Gabriella Dr, Parma, OH 44130-1468 | 2020-08-18 |
| 1457962110 | Mt. Eaton Medical Group | Family Medicine | 15988 E Chestnut St, Mt. Eaton, OH 44659 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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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.