SOUTHWEST GENERAL MEDICAL GROUP (NPI# 1639610702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639610702 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST GENERAL MEDICAL GROUP |
| Practice Address |
18697 Bagley Rd Cleveland OH 44130-3417 |
| Mailing Address |
Po Box 638269 Cincinnati OH 45263-8269 |
| Practice Telephone | 4408168200 |
| Practice Fax Number | 4408168197 |
| Mailing Telephone | 4402892025 |
| Enumeration Date | 2017-03-09 |
| 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 | 363AM0700X |
Physician Assistant Specialization: Medical |
50005004 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 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 |
| 1902223936 | Maureen Ellis | Social Worker | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2014-03-27 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122394 | Mariah Bower | Physician Assistant | 2725 Hampshire Rd Apt 3, Cleveland, OH 44106-2570 | 2019-09-05 |
| 1205319753 | Jennifer Lee Seegichetla | Physician Assistant | 11100 Euclid Ave # Seidman7, Cleveland, OH 44106-1716 | 2018-09-11 |
| 1396291019 | Kaitlin Elizabeth Ruszkowski | Physician Assistant | 2049 E 100th St Cleveland Clinic, Cleveland, OH 44195 | 2016-09-01 |
| 1528411493 | Kayla Losco | Physician Assistant | 18101 Lorain Avenue-cleveland Clinic-fairview Hospital, Emergency Services, Cleveland, OH 44111-5612 | 2016-07-15 |
| 1356705719 | Alison Rae Dushac | Physician Assistant | Cleveland Clinic Emergency Department, 9105 Cedar Avenue, Cleveland, OH 44195-0001 | 2016-04-11 |
| 1518330687 | Erica Paul | Physician Assistant | 9105 Cedar Ave, E Building, Cleveland, OH 44195-0001 | 2015-11-11 |
| 1588961189 | Jennifer Lynn Tresler | Physician Assistant | 1700 E 13th St Apt 14h, Cleveland, OH 44114-3219 | 2011-02-16 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1295911279 | Dennis Albert Frinzl | Physician Assistant | 4450 Saint Clair Ave, Cleveland, OH 44103-1126 | 2008-01-21 |
| 1023207891 | Amy M. Drab | Physician Assistant | 9500 Euclid Ave # Q2-1, Cleveland, OH 44195-8485 | 2007-10-17 |
| 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.