Eastshore Medical Center LLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

EASTSHORE MEDICAL CENTER LLC

Practice address

26300 Euclid Ave Ste 333
Euclid, OH 44132-3702

Phone

(216) 302-1500

Fax

(216) 302-1520

NPI assigned

Jul 27, 2016

Organization subpart

No

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

Authorized official

Name

Michael Capobianco

Title

Owner

Phone

(216) 302-1500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1023561941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26300 EUCLID AVE STE 333",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323702",
            "telephone_number": "216-302-1500",
            "fax_number": "216-302-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 EUCLID AVE STE 333",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323702",
            "telephone_number": "216-302-1500",
            "fax_number": "216-302-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSHORE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "CAPOBIANCO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-302-1500"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Gwyn Duval, PT
• Dyllan'S Courier Service
• Matthew Eaddie
• April O Eagle, RN
• East Cleveland Healthcare Inc
• Eastshore Medical Services LLC
• Porchia C Eaton
• Taronda Echols
• Julian Edge
• Marian Edgerson

• Neuromusculoskeletal Medicine & OMM Physician in Euclid, OH
• Providers in Euclid, OH by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.