WESTSHORE PRIMARY CARE ASSOC., INC. (NPI# 1992034516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992034516 |
| Entity Type | Organization |
| Organization Name | WESTSHORE PRIMARY CARE ASSOC., INC. |
| Practice Address |
32900 Detroit Rd Avon OH 44011-2018 |
| Mailing Address |
26908 Detroit Rd Suite 301 Westlake OH 44145-2398 |
| Practice Telephone | 4402508660 |
| Practice Fax Number | 4402508639 |
| Mailing Telephone | 4406171823 |
| Mailing Fax Number | 4406170884 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |
| 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 | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0858077 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255688644 | Westshore Primary Care Assoc., Inc. | Obstetrics & Gynecology | 552 N Leavitt Rd, Amherst, OH 44001-1131 | 2012-08-06 |
| 1154599504 | Westshore Primary Care Assoc., Inc. | Internal Medicine | 28575 Westlake Village Dr, Westlake, OH 44145-3883 | 2008-02-19 |
| 1023359023 | Westshore Primary Care Assoc., Inc. | Family Medicine | 20455 Lorain Rd, Suite 102, Fairview Park, OH 44126-3494 | 2013-03-15 |
| 1497037691 | Westshore Primary Care Assoc., Inc. | Obstetrics & Gynecology | 29160 Center Ridge Rd, Suite M, Westlake, OH 44145-5225 | 2011-09-13 |
| 1013210079 | Westshore Primary Care Assoc., Inc. | Obstetrics & Gynecology | 29325 Health Campus Dr, Suite 1, Westlake, OH 44145-8201 | 2010-12-14 |
| 1942503909 | Westshore Primary Care Assoc., Inc. | Obstetrics & Gynecology | 29101 Health Campus Dr, Suite 250, Westlake, OH 44145-5270 | 2010-12-14 |
| 1033434998 | Westshore Primary Care Assoc., Inc. | Internal Medicine | 7215 Old Oak Blvd, Suite A420, Middleburg Heights, OH 44130-3340 | 2010-04-05 |
| 1548593361 | Westshore Primary Care Assoc., Inc. | Family Medicine | 33398 Walker Rd, Suite C, Avon Lake, OH 44012-1496 | 2009-09-11 |
| Street Address |
32900 DETROIT RD |
| City | AVON |
| State | OH |
| Zip Code | 44011-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962528422 | Good Samaritan Health Group, Inc | Skilled Nursing Facility | 32900 Detroit Rd, Avon, OH 44011-2018 | 2007-03-22 |
| 1588010300 | Cardinal Avon, Inc. | Skilled Nursing Facility | 32900 Detroit Rd, Avon, OH 44011-2018 | 2016-05-11 |
| 1982061560 | Kathryn F Senft | Speech-Language Pathologist | 32900 Detroit Rd, Avon, OH 44011-2018 | 2016-01-27 |
| 1427415975 | Katherine Diane Budaji | Physical Therapist | 32900 Detroit Rd, Avon, OH 44011-2018 | 2016-01-27 |
| 1891102760 | Diversicare of Avon, LLC | Skilled Nursing Facility | 32900 Detroit Rd, Avon, OH 44011-2018 | 2014-07-12 |
| 1720312069 | The Foot and Ankle Clinic LLC | Clinic/Center | 32900 Detroit Rd, Avon, OH 44011-2018 | 2009-09-18 |
| 1982807954 | Good Samaritan Nursing Home, LLC | Skilled Nursing Facility | 32900 Detroit Rd, Avon, OH 44011-2018 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845889 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1810 Nagel Rd, Avon, OH 44011 | 2019-01-23 |
| 1548758782 | Stacey L Yanetta | Social Worker | Avon-richard E. Jacobs Health Center, 33100 Cleveland Clinic Blvd, Avon, OH 44011 | 2018-04-24 |
| 1073054540 | Timothy Weitzel | Social Worker | 36419 Edenhall Terrace, Avon, OH 44011 | 2017-03-16 |
| 1568829059 | Jessica Ryan Springer | Nurse Practitioner | 36130 N Park Dr, Avon, OH 44011 | 2016-01-28 |
| 1962879569 | Cleveland Clinic Rehabilitation Hospitals, LLC | Rehabilitation Hospital | 33355 Health Campus Boulevard, Avon, OH 44011 | 2015-08-31 |
| 1619373024 | Avon Healthcare Center, Inc. | Skilled Nursing Facility | 37845 Colorado Avenue, Avon, OH 44011 | 2014-11-12 |
| 1508272543 | Samantha Willi | Counselor | 37040 Colorado Ave, Avon, OH 44011 | 2014-07-10 |
| 1336572791 | Todd Bernard | Dentist | 37701 Colorado Ave Ste E, Avon, OH 44011 | 2013-08-20 |
| 1245550730 | Kenneth Charles Hohmeier | Pharmacist | 38530 Chester Road, Suite 400, Avon, OH 44011 | 2010-06-07 |
| 1760712343 | Avon Local School District | Local Education Agency (LEA) | 36600 Detroit Road, Avon, OH 44011 | 2010-01-05 |
| Find all providers in zip 44011 | ||||
| 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 |
|---|---|---|---|---|
| 1477033017 | Jm Medical Consulting LLC | Internal Medicine | 43 Westmont Rd, Avon, CT 06001-2381 | 2018-08-14 |
| 1083964845 | Hope Internal Medicine Pllc | Internal Medicine | 498 Collins St, Avon, NY 14414-1466 | 2012-09-19 |
| 1891098877 | Norm Numerof, Md, PC | Internal Medicine | 142 Beaver Creek Pl., Suite 112, Avon, CO 81620-0000 | 2010-12-13 |
| 1578721783 | Melissa C. Knutson | Internal Medicine | 1351 Ronald Reagan Pkwy Ste A, Avon, IN 46123-6764 | 2008-05-26 |
| 1760656151 | Omar Batal | Internal Medicine | 1111 N Ronald Reagan Parkway, Suite 171, Avon, IN 46123-6910 | 2008-04-16 |
| 1982826616 | Rene Lerer | Internal Medicine | 29 Saint Andrews Dr, Avon, CT 06001-4050 | 2007-05-03 |
| 1679640841 | Wayne Chen | Internal Medicine | 44 Dale Road, Avon, CT 06001-4320 | 2006-11-30 |
| 1538258439 | Lisa Kinderman | Internal Medicine | 5250 East Us 36, Suite 610, Avon, IN 46123 | 2006-10-11 |
| 1649375049 | Edgar Rainer Maria Marr | Internal Medicine | 36465 Detroit Rd, Avon, OH 44011-1576 | 2006-09-13 |
| 1902915713 | Ralph Rosenberg | Internal Medicine | 36 East Main Street, Avon, CT 06001-3828 | 2006-08-29 |
| Find all providers in AVON | ||||
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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.