NPIMap

Organization Active NPI

The Cleveland Clinic Foundation

  • General Practice Physician
  • Chardon, OH
National Provider Identifier
1063341949
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THE CLEVELAND CLINIC FOUNDATION
Practice address
425 Water St
Ste 301
Chardon, OH 44024-1236
Phone
(216) 444-2273
NPI assigned
May 16, 2026
Last updated
May 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2026

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

Authorized official

Name
Dennis Lee Laraway
Title
Executive VP Chief Finance Office
Phone
(216) 445-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

425 Water St
Ste 301
Chardon, OH 44024-1236

Mailing address

6801 Brecksville Rd
Ste 20 Attn: DPC RK2-7
Indepedence, OH 44131-5062
Phone (999) 999-9999

National Provider Directory

National Provider Directory
Tax ID family
CCF Ophthalmology229 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

425 Water St
Ste 301
Chardon, OH 44024
Phone (440) 214-6240

NPI Registry JSON

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

{
    "created_epoch": "1778889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778889600000",
    "number": "1063341949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "STE 20 ATTN: DPC RK2-7",
            "city": "INDEPEDENCE",
            "state": "OH",
            "postal_code": "441315062",
            "telephone_number": "999-999-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WATER ST",
            "address_2": "STE 301",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241236",
            "telephone_number": "216-444-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLEVELAND CLINIC FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-16",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE VP CHIEF FINANCE OFFICE",
        "authorized_official_telephone_number": "216-445-1343"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; 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.