Westshore Primary Care Assoc., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WESTSHORE PRIMARY CARE ASSOC., INC.

Practice address

7215 Old Oak Blvd
Suite A420
Middleburg Heights, OH 44130-3340

Phone

(440) 816-5816

Fax

(440) 243-4819

NPI assigned

Apr 5, 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.

  • Obstetrics & Gynecology Physician
  • Westlake, OH
  • NPI 1013210079
  NPD tax ID
• Westshore Primary Care Assoc., Inc.

  • Family Medicine Physician
  • Fairview Park, OH
  • NPI 1023359023
  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": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1033434998",
    "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": "7215 OLD OAK BLVD",
            "address_2": "SUITE A420",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303340",
            "telephone_number": "440-816-5816",
            "fax_number": "440-243-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSHORE PRIMARY CARE ASSOC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2013-05-16",
        "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": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0858077",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Watters, DPT
• Linda Weitzel, DPT
• Jaclyn L Welder, LPC-CR
• Celeste Wellman
• Todd Samuel Welsh, MD
• Westside Gastroenterologists, Inc.
• Tia Weybrecht
• Pavielle Chebenz White
• Robert Brent Wilder
• Shatesha Wilder

• Internal Medicine Physician in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.