Clinic Regional Physicians LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CLINIC REGIONAL PHYSICIANS LLC

Practice address

25875 Science Park Dr
Ac1-2-108
Beachwood, OH 44122-7304

Phone

(216) 448-0111

Fax

(216) 448-0617

NPI assigned

Jun 10, 2008

Last updated

Feb 23, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

CLEVELAND CLINIC FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Mr. Jeff Jones

Title

Regional Vice President of Finance

Phone

(216) 448-1200

Specialties & licenses 15

Addresses

Other identifiers 2

Part of

CCF Ophthalmology

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Cleveland Clinic Foundation

  dba Cleveland Clinic Orthapedics and Rheumatology at Hillcrest

  • Durable Medical Equipment & Medical Supplies
  • Mayfield HTS, OH
  • NPI 1780991794

  Member Of

  NPD member

Locations (25 of 28)

Practitioners 158

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karyn Lyn Abdallah, M.D.

  • Family Medicine Physician
  • Middleburg Heights, OH
  • NPI 1477652816
  NPD (past)
• Lindsay SRP Acomb, C.P.N.P

  • Pediatric Nurse Practitioner
  • Ravenna, OH
  • NPI 1831394634
  NPD (past)
• Hareendra G. Adhvaryu, M.D.

  • Psychiatry Physician
  • Lakewood, OH
  • NPI 1124063425
  NPD (past)
• Amy Arnold, D.O.

  • Emergency Medicine Physician
  • Warrensville Heights, OH
  • NPI 1851512206
  NPD (past)
• Anthony E Bacevice Jr., MD

  • Obstetrics & Gynecology Physician
  • Avon, OH
  • NPI 1598714388
  NPD (past)
• Kathleen Balcerzak, LISW

  • Clinical Social Worker
  • Sagamore Hills, OH
  • NPI 1558387514
  NPD (past)
• Robert W Bales, M.D.

  • Family Medicine Physician
  • Cleveland, OH
  • NPI 1619967742
  NPD (past)
• Fadi S Bashour, MD

  • Obstetrics & Gynecology Physician
  • Brooklyn, OH
  • NPI 1134178932
  NPD (past)
• Yelena Beregovskaya, C.N.M.

  • Advanced Practice Midwife
  • Cleveland, OH
  • NPI 1326137431
  NPD (past)
• Sanjit Singh Bindra, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Cleveland, OH
  • NPI 1003985078
  NPD (past)
• Tina M Black, DO

  • Family Medicine Physician
  • Westlake, OH
  • NPI 1174609754
  NPD (past)
• Mary Griswold Blank, MD

  • Obstetrics & Gynecology Physician
  • Mayfield HTS, OH
  • NPI 1891787271
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1043470453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77028",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441947028",
            "telephone_number": "216-448-0111",
            "fax_number": "216-448-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25875 SCIENCE PARK DR",
            "address_2": "AC1-2-108",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227304",
            "telephone_number": "216-448-0111",
            "fax_number": "216-448-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC REGIONAL PHYSICIANS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEVELAND CLINIC FOUNDATION",
        "enumeration_date": "2008-06-10",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "216-448-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2902381",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DO1231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Katherine Clipper, LPCC
• Colleen Cloherty
• Christy Clore
• Shannon Coates, MSW, LSW
• Tanisha Coats, LPC

• Internal Medicine Physician in Beachwood, OH
• Providers in Beachwood, 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 Feb 23, 2009; 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.