Healthspan Physicians LLC
Internal Medicine in Parma, OH. Organization (NPI-2).
NPI number1982038840
StatusActive
Last updated in NPPESAug 28, 2013
Details
- NPI
- 1982038840
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthspan Physicians LLC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2013
- Last updated
- Aug 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 207W00000X | Ophthalmology | – | – | |
| 207P00000X | Emergency Medicine | – | – | |
| 207X00000X | Orthopaedic Surgery | – | – | |
| 208000000X | Pediatrics | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | |
| 208600000X | Surgery | – | – | |
| 208800000X | Urology | – | – | |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – |
Practice location
12301 Snow RdParma, OH 44130-1002
Phone 216-265-8810 · Fax 216-265-8890
Mailing address
615 Elsinore PlCincinnati, OH 45202-1459
Phone 513-639-2722
Authorized official
David Nowiski
Cfo Of Physician Operations
5136392722
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