Geauga Sports Medicine, Llc in Chardon - Sports Medicine
Geauga Sports Medicine, Llc - NPI 1396746970
Geauga Sports Medicine, Llc is a Sports Medicine in Chardon, Ohio. Geauga Sports Medicine, Llc practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Geauga Sports Medicine, Llc is 1396746970. The last update date is 2022-07-21.
Geauga Sports Medicine, Llc's current location address is 13207 Ravenna Rd, Chardon, Ohio. You can contact this provider via phone number 4402856452 and fax number 4402851796. The mailing address for Geauga Sports Medicine, Llc is 13207 Ravenna Rd, Chardon, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Geauga Sports Medicine, Llc |
|---|---|
| Address | 13207 Ravenna Rd, Chardon, Ohio |
| Phone Number | 4402856452 |
| Fax Number | 4402851796 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kelis J Michael |
| Credentials | D.O. |
| Telephone Number | 4402856452 |
NPI Number Detail
| NPI Number | 1396746970 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 13207 Ravenna Rd |
|---|---|
| City | Chardon |
| State | Ohio (OH) |
| Post Code | 440247032 |
| Phone Number | 4402856452 |
| Fax Number | 4402851796 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2083S0010X |
|
Definition: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 250006704 | OH | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Geauga Sports Medicine, Llc by the Centers for Medicare & Medicaid Services?
The Geauga Sports Medicine, Llc has been assigned the NPI (National Provider Identifier) 1396746970 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Geauga Sports Medicine, Llc is located?
The Geauga Sports Medicine, Llc is situated at the following address: 13207 Ravenna Rd, Chardon, OH, 440247032.
What is Geauga Sports Medicine, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Geauga Sports Medicine, Llc is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 2083S0010X.
On what date did Geauga Sports Medicine, Llc receive its 1396746970 assignment from the Centers for Medicare & Medicaid Services?
The Geauga Sports Medicine, Llc was assigned its 1396746970 on 2005-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Geauga Sports Medicine, Llc most recently updated or revised?
The details related to Geauga Sports Medicine, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.
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