Active NPI
Healthspan Integrated Care
- Ambulatory Surgical Clinic/Center
- Parma, OH
National Provider Identifier
1003242850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- HEALTHSPAN INTEGRATED CARE
- Practice address
- 12301 Snow Rd
Parma, OH 44130-1002 - Phone
- (216) 265-8810
- Fax
- (216) 265-8890
- NPI assigned
- Sep 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David A Nowiski
- Title
- Cfo
- Phone
- (513) 639-2722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | OH | Primary |
Addresses
Primary practice location
12301 Snow Rd
Parma, OH 44130-1002
Mailing address
615 Elsinore PL
Cincinnati, OH 45202-1459
Phone (513) 639-2722
National Provider Directory
National Provider Directory- Tax ID family
- Healthspan Integrated Care
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441152000000",
"number": "1003242850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021459",
"telephone_number": "513-639-2722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 SNOW RD",
"city": "PARMA",
"state": "OH",
"postal_code": "441301002",
"telephone_number": "216-265-8810",
"fax_number": "216-265-8890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSPAN INTEGRATED CARE",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-24",
"last_updated": "2015-09-02",
"status": "A",
"authorized_official_last_name": "NOWISKI",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "513-639-2722",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.