Peter Gabriel Inoshita

Key facts

NPI

1023735248

Entity type

Individual (NPI type 1)

Primary specialty

Registered Record Administrator 246YR1600X

Practice address

3622 Prospect Ave E
Cleveland, OH 44115-2704

Phone

(216) 431-4600

NPI assigned

Oct 27, 2022

Sex

Male

Sole proprietor

No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Imex Inc Occupational Medicine Physician · Chesterland, OH · NPI 1194229427
  NPD (past)
• Moore Counseling & Mediation Services, Inc. Professional Counselor · Euclid, OH · NPI 1235242280
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 27, 2022.

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1023735248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22639 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441171622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 PROSPECT AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152704",
            "telephone_number": "216-431-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INOSHITA",
        "first_name": "PETER",
        "middle_name": "GABRIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246YR1600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information, Registered Record Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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