BOW TIE MEDICAL OHIO, LLC (NPI# 1811328065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811328065 |
| Entity Type | Organization |
| Organization Name | BOW TIE MEDICAL OHIO, LLC |
| Practice Address |
7500 Town Centre Dr Ste 200 Broadview Heights OH 44147-4029 |
| Mailing Address |
7750 Town Centre Dr Ste 300 Broadview Heights OH 44147-4040 |
| Practice Telephone | 8772838863 |
| Practice Fax Number | 2137845670 |
| Mailing Telephone | 8772838863 |
| Mailing Fax Number | 2137845670 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MONICA JEAN LENOX (PRACTICE MANAGER) |
| Authorized Official Telephone | 8772838863 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 387 Medina Rd, Suite 375, Medina, OH 442565302 | 8887359410 | 8887359410 |
| Street Address |
7500 TOWN CENTRE DR STE 200 |
| City | BROADVIEW HEIGHTS |
| State | OH |
| Zip Code | 44147-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245516772 | Alyssa B Taylor | Midwife | 7500 Town Centre Dr Ste 200, Broadview Heights, OH 44147-4029 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980827 | Alexandra Pittaway | Technician | 8425 Cherry Hill Lane, Broadview Heights, OH 44147 | 2019-09-06 |
| 1326601733 | Matthew Kubalski | Physical Therapist | 7000 Town Centre Drive, Suite 400, Broadview Heights, OH 44147 | 2019-04-22 |
| 1477027860 | Tera Chmura | Behavioral Analyst | 3681 Braemar Dr, Broadview Heights, OH 44147 | 2019-01-18 |
| 1104302520 | David Huang | General Practice | 2828 Lydia Dr, Broadview Hts, OH 44147 | 2018-07-18 |
| 1558536813 | Christmas Home Health, LLC | Home Health | 2104 Stoney Run Circle, Broadview Hts., OH 44147 | 2008-04-28 |
| 1609057124 | Debra L Klein | Physician Assistant | One Eagle Valley Court, Broadview Hts, OH 44147 | 2007-11-27 |
| 1114110764 | Rosemarie Theresa Santiago | Licensed Practical Nurse | 9622 Amberwood Ct, Broadview Hts, OH 44147 | 2007-08-27 |
| 1972724615 | Donna Rowan Culley | Speech-Language Pathologist | 3505 East Royalton Road, Broadview Heights, OH 44147 | 2007-05-01 |
| 1437180247 | Southwest Endodontics & Periodontics | Dentist | 1000 W Wallings Rd, Suite B Southwest Endo & Perio Inc, Broadview Heights, OH 44147 | 2006-07-06 |
| 1457834871 | Julie Ann Pinter | Speech-Language Pathologist | 3505 East Royalton Road, Suite 221, Broadview Heights, OH 44147 | 2018-09-11 |
| Find all providers in zip 44147 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1699306126 | Integrated Medicine of Ohio LLC | General Practice | 6200 Rockside Woods Blvd N Ste 100, Independence, OH 44131-2392 | 2020-02-03 |
| 1437796042 | Integrated Medicine of Ohio LLC | General Practice | 2780 S Arlington Rd Ste 202, Coventry Township, OH 44312-4707 | 2019-12-02 |
| 1265078497 | Jaime L Go Md Inc | General Practice | 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 | 2019-11-22 |
| 1558902809 | Wecare Health Clinic Group, LLC | General Practice | 8918 Reading Rd, Cincinnati, OH 45215-3228 | 2019-10-07 |
| 1063062354 | Independent Physical Medicine LLC | General Practice | 3469 W Elm St, Lima, OH 45807-2226 | 2019-09-18 |
| 1861041535 | Allied Medical Integration, LLC | General Practice | 7067 Tiffany Blvd Ste 280, Poland, OH 44514-1803 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | BROADVIEW HEIGHTS |
| Zip Code | 44147 |
Please comment or provide details below to improve the information on BOW TIE MEDICAL OHIO, LLC.
| 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.