David P Agle MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DAVID P AGLE MD INC

Practice address

10524 Euclid Ave
Cleveland, OH 44106-2205

Phone

(216) 844-3431

Fax

(216) 844-4741

NPI assigned

Jan 8, 2009

Organization subpart

No

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

Authorized official

Name

David P Agle

Title

Owner

Phone

(216) 844-3431

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1053558478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10524 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062205",
            "telephone_number": "216-844-3431",
            "fax_number": "216-844-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062205",
            "telephone_number": "216-844-3431",
            "fax_number": "216-844-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P AGLE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "AGLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-844-3431"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0313495",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.