SOUTHWEST GENERAL MEDICAL GROUP, INC (NPI# 1780733444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780733444 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST GENERAL MEDICAL GROUP, INC |
| Practice Address |
18697 Bagley Rd Cleveland OH 44130-3417 |
| Mailing Address |
Po Box 638269 Cincinnati OH 45263-0001 |
| Practice Telephone | 4408166051 |
| Mailing Telephone | 4408166051 |
| 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 |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2238144 | 05 | |
| OH | 2267907 | 05 | |
| OH | RAILROAD MEDICARE | CA1078 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205985967 | Southwest General Medical Group, Inc | Physical Medicine & Rehabilitation | 18780 Bagley Rd # 100, Cleveland, OH 44130-3304 | 2007-01-10 |
| Street Address |
18697 BAGLEY RD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44130-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538166731 | Dave James Ferris | Pharmacist | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2005-07-01 |
| 1386265825 | Joseph E Guidos IIi | Pharmacist | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2020-05-06 |
| 1619436797 | Ann Marie Vance Garvey | Physical Therapist | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2019-03-18 |
| 1649788746 | Kathleen Margaret Mccurdy | Nurse Practitioner | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2018-01-11 |
| 1417498304 | Leah Schiely | Physician Assistant | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2017-03-13 |
| 1639610702 | Southwest General Medical Group | Physician Assistant | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2017-03-09 |
| 1306396866 | Devin Johnson | Physical Therapist | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2016-10-09 |
| 1902350622 | Jodi Steinbrenner | Nurse Practitioner | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2016-08-10 |
| 1235503954 | Alison R Henton | Clinical Nurse Specialist | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2015-11-18 |
| 1740608306 | Southwest General Health Center | Nurse Practitioner | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2014-04-01 |
| Find all providers in the same location | ||||
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942572862 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 2305 Chambliss Ave, Sw, Sky Ridge Medical Center Main, Cleveland, TN 37311-3899 | 2012-02-08 |
| 1629211982 | David James Seastone | Internal Medicine | Ccf Deparment of Hematology Oncology, 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2009-04-15 |
| 1922254937 | Aaron T Gerds | Internal Medicine | 9500 Euclid Ave R35, Cleveland, OH 44195 | 2008-08-09 |
| 1366637563 | An L Tran | Internal Medicine | 2390 N. Ocoee St., Cleveland, TN 37311 | 2007-09-11 |
| 1962510826 | Alberto Jose Montero | Internal Medicine | Taussig Cancer Institute 9500 Euclid Ave, R35, Cleveland, OH 44195-1002 | 2006-08-29 |
| 1942206388 | Paul F Hergenroeder | Internal Medicine | 17876 Saint Clair Ave, Cleveland, OH 44110 | 2005-06-21 |
| 1588669113 | Donald Eicher | Internal Medicine | 18200 Lorain Ave, Moll Pavilion, Cleveland, OH 44111-5605 | 2005-06-20 |
| 1437152691 | Sylvia L Krueger | Internal Medicine | 2390 N Ocoee St, Cleveland, TN 37311-3850 | 2005-05-23 |
| 1033764600 | Heather R Skomski | Internal Medicine | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2019-08-09 |
| 1902269137 | Amanda Nizam | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-3201 | 2016-04-04 |
| 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.