Organization Active NPI

Cleveland Center for Digestive

  • Corporate Health Clinic/Center
  • Beachwood, OH
National Provider Identifier
1013967025
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
0065AS Issued in OH
Legal business name
CLEVELAND CENTER FOR DIGESTIVE
Practice address
3700 Park East Dr
Suite 100
Beachwood, OH 44122-4339
Phone
(216) 593-7700
Fax
(216) 593-7190
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Mr. James J Andrassy
Title
Cio/Administrator
Phone
(216) 593-7502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X 0065AS OH Primary

Addresses

Primary practice location

3700 Park East Dr
Suite 100
Beachwood, OH 44122-4339

Mailing address

3700 Park East Dr
Suite 100
Beachwood, OH 44122-4339
Phone (216) 593-7700

Other identifiers 5

IdentifierTypeStateIssuer
000000389849OtherOHANTHEM BCBS
0621465MedicaidOH
7316076OtherOHAETNA
000000389849OtherOHANTHEM- BLUE CROSS & BLUE SHIELD
P00304788OtherOHRAILROAD MEDICARE

Other names 1

  • Cleveland Center for Digestive Health and Endoscopy, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1013967025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 PARK EAST DR",
            "address_2": "SUITE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224339",
            "telephone_number": "216-593-7700",
            "fax_number": "216-593-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PARK EAST DR",
            "address_2": "SUITE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224339",
            "telephone_number": "216-593-7700",
            "fax_number": "216-593-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CENTER FOR DIGESTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "ANDRASSY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CIO/ADMINISTRATOR",
        "authorized_official_telephone_number": "216-593-7502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "OH",
            "license": "0065AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000389849",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0621465",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7316076",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- BLUE CROSS & BLUE SHIELD",
            "identifier": "000000389849",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00304788",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Center for Digestive Health and Endoscopy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.