Organization Active NPI

East Cleveland Healthcare Inc

  • Internal Medicine Physician
  • Euclid, OH
National Provider Identifier
1053485177
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EAST CLEVELAND HEALTHCARE INC
Practice address
22340 Lakeshore Blvd
Euclid, OH 44123-1717
Phone
(216) 731-1919
Fax
(216) 731-1909
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Authorized official

Name
Charles Abunyewa, M.D.NPI 1942238605
Title
Officer
Phone
(216) 731-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OH Primary

Addresses

Primary practice location

22340 Lakeshore Blvd
Euclid, OH 44123-1717

Mailing address

P.O. Box 32476
Euclid, OH 44132-0476
Phone (216) 731-1919

Other identifiers 1

IdentifierTypeStateIssuer
2595964MedicaidOH

National Provider Directory

National Provider Directory

Locations

22340 Lake Shore Blvd
Euclid, OH 44123
Phone (216) 731-1919

Practitioners & affiliated clinicians

Practitioners 4

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1053485177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 32476",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441320476",
            "telephone_number": "216-731-1919",
            "fax_number": "216-731-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22340 LAKESHORE BLVD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441231717",
            "telephone_number": "216-731-1919",
            "fax_number": "216-731-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CLEVELAND HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "ABUNYEWA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "216-731-1919",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2595964",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; 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.