Westshore Primary Care Assoc., Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WESTSHORE PRIMARY CARE ASSOC., INC.

Practice address

29325 Health Campus Dr
Suite 1
Westlake, OH 44145-8201

Phone

(440) 835-6996

Fax

(440) 808-9738

NPI assigned

Dec 14, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Misty A Blaylock

Title

Credentialing Coordinator

Phone

(440) 892-6406

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Westshore Primary Care Assoc Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

• Westshore Primary Care Assoc., Inc.

  • Family Medicine Physician
  • Fairview Park, OH
  • NPI 1023359023
  NPD tax ID
• Westshore Primary Care Assoc., Inc.

  • Internal Medicine Physician
  • Middleburg Heights, OH
  • NPI 1033434998
  NPD tax ID
• Westshore Primary Care Assoc., Inc.

  • Obstetrics & Gynecology Physician
  • Amherst, OH
  • NPI 1255688644
  NPD tax ID
• Westshore Primary Care Assoc., Inc.

  • Obstetrics & Gynecology Physician
  • Westlake, OH
  • NPI 1497037691
  NPD tax ID
• Westshore Primary Care Assoc., Inc.

  • Pediatrics Physician
  • Avon Lake, OH
  • NPI 1548593361
  NPD tax ID
• Westshore Primary Care Assoc., Inc.

  • Obstetrics & Gynecology Physician
  • Westlake, OH
  • NPI 1942503909
  NPD tax ID
• Westshore Primary Care Assoc., Inc.

  • Internal Medicine Physician
  • Avon, OH
  • NPI 1992034516
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1013210079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 DETROIT RD",
            "address_2": "SUITE 301",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452398",
            "telephone_number": "440-617-1823",
            "fax_number": "440-617-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29325 HEALTH CAMPUS DR",
            "address_2": "SUITE 1",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458201",
            "telephone_number": "440-835-6996",
            "fax_number": "440-808-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSHORE PRIMARY CARE ASSOC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "BLAYLOCK",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "440-892-6406"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0858077",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westshore Allergy and Immunology,LLC
• Westshore Dermatology Inc
• Westshore Primary Care Assoc Inc
• Westshore Primary Care Assoc Inc
• Westshore Primary Care Assoc. Inc.
• Westshore Primary Care Assoc., Inc.
• Westshore Primary Care Assoc., Inc.
• Westshore Primary Care Assoc., Inc.
• Westside Behavioral Health, LLC
• Westside Hematology Oncology Inc

• Obstetrics & Gynecology Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.