SOUTHWEST GENERAL MEDICAL GROUP, INC. (NPI# 1588713325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588713325 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST GENERAL MEDICAL GROUP, INC. |
| Other Organization Name | INTERNAL MEDICINE |
| Practice Address |
4065 Center Rd. #210 Cleveland OH 44212 |
| Mailing Address |
Po Box 638269 Cincinnati OH 45263-8269 |
| Practice Telephone | 3305580050 |
| Mailing Telephone | 3305580070 |
| 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 | Y |
| Parent Organization Name | SOUTHWEST GENERAL MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2238206 | 05 |
| Other Name | Type Code |
|---|---|
| Internal Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134239676 | Southwest General Medical Group, Inc. | Internal Medicine | 7255 Old Oak Blvd Ste C202, Cleveland, OH 44130-3300 | 2006-08-30 |
| 1144414871 | Southwest General Medical Group, Inc. | Orthopaedic Surgery | 15900 Snow Rd, Brook Park, OH 44142-2859 | 2007-09-06 |
| 1588713341 | Southwest General Medical Group, Inc. | Psychiatry & Neurology | 7265 Old Oak Blvd, Cleveland, OH 44130-3342 | 2007-01-10 |
| 1508915364 | Southwest General Medical Group, Inc. | Obstetrics & Gynecology | 18181 Pearl Rd, B206, Strongsville, OH 44136-6949 | 2007-01-10 |
| 1104975895 | Southwest General Medical Group, Inc. | Family Medicine | 18181 Pearl Rd, B202, Strongsville, OH 44136-6949 | 2007-01-10 |
| 1841349537 | Southwest General Medical Group, Inc. | Family Medicine | 18181 Pearl Rd, A206, Strongsville, OH 44136-6949 | 2007-01-10 |
| Street Address |
4065 CENTER RD. #210 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184100828 | Maya L Cortes | Counselor | 1839 Pearl Rd Ste 103, Brunswick, OH 44212 | 2018-07-16 |
| 1306331293 | Sanamkaiser, Inc | Dentist | 3864 Center Road, Brunswick, OH 44212 | 2018-06-25 |
| 1548780802 | Brunswick Health & Rehabilitation Center, Inc. | Skilled Nursing Facility | 4355 Laurel Rd, Brunswick, OH 44212 | 2017-06-27 |
| 1265989768 | Shannon Hearns | Specialist/Technologist | 2034 Coventry Drive, Brunswick, OH 44212 | 2016-09-01 |
| 1770972127 | Sapan Haribhakti | Pharmacist | 736 Jeanette Street, Brunswick, OH 44212 | 2015-01-22 |
| 1487931473 | Tiffany Lester | Occupational Therapist | 3225 Pinecrest, Brunswick, OH 44212 | 2011-11-04 |
| 1306153176 | Heather Kurtz | Skilled Nursing Facility | 1229 Roundtable Court, Brunswick, OH 44212 | 2010-09-01 |
| 1609033299 | Paul Lawrence Bushi | Dentist | 3725 Center Road, Brunswick, OH 44212 | 2008-05-21 |
| 1326247941 | Janet Nicol Husser | Chiropractor | 4036 Center Road, Suite A, Brunswick, OH 44212 | 2007-07-13 |
| 1518162197 | Peter M Mazzeo | Dentist | 1026 Pearl Road, Suites 1 & 2, Brunswick, OH 44212 | 2007-06-15 |
| Find all providers in zip 44212 | ||||
| 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 |
|---|---|---|---|---|
| 1972115277 | Basel Bazerbachi | Internal Medicine | Cleveland Clinic Foundation 9500 Euclid Ave Na-23, Cleveland, OH 44195-0001 | 2020-08-18 |
| 1881236560 | Fivestars Onlinecare | Internal Medicine | 850 Euclid Aveneue, Suite 1022, Cleveland, OH 44114 | 2019-10-14 |
| 1982161527 | Lake Point Medical Group,llc | Internal Medicine | 1730 W 25th St Ste 2e, Cleveland, OH 44113-3108 | 2019-03-01 |
| 1780154914 | Syah, LLC | Internal Medicine | 142 Parkway Plaza, Cleveland, GA 30528 | 2018-11-30 |
| 1255818001 | Simrat Kaur | Internal Medicine | Cleveland Clinic Foundation 9500 Euclid Avenue/na- 23, Cleveland, OH 44195-0001 | 2018-07-24 |
| 1528553005 | Nazire Albayrak | Internal Medicine | Cleveland Clinic 9500 Euclid Avenue/na2-3, Cleveland, OH 44195-0001 | 2018-06-26 |
| 1770082471 | Cleveland Clinic Health Services Professional Association, Inc | Internal Medicine | 9500 Euclid Ave # Na4, Cleveland, OH 44195 | 2018-02-08 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1669994935 | Ji Seok Park | Internal Medicine | 9500 Euclid Ave A51, Cleveland, OH 44193-1913 | 2017-07-08 |
| 1407376031 | Arunbabu Sankaranarayanan | Internal Medicine | 2351 E 22nd St # 342w, Cleveland, OH 44115-3111 | 2017-06-24 |
| 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.