Active NPI
North East Ohio Group Practice LLC
- Internal Medicine Physician
- Middleburg Heights, OH
National Provider Identifier
1063575462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NORTH EAST OHIO GROUP PRACTICE LLC
- Practice address
- 18697 Bagley Rd
Middleburg Heights, OH 44130-3417 - Phone
- (440) 542-5000
- Fax
- (440) 542-5005
- NPI assigned
- Dec 18, 2006
- Last updated
- Apr 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Klosterman
- Title
- Cfo
- Phone
- (330) 926-7974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
18697 Bagley Rd
Middleburg Heights, OH 44130-3417
Mailing address
30575 Bainbridge Rd Ste 200
Cleveland, OH 44139-2275
Phone (440) 542-5000
Other practice location 1
7007 Powers Blvd
Parma, OH 44129-5437
Phone (440) 743-4333
Other practice location 2
11900 Fairhill Rd
Cleveland, OH 44120-1062
Phone (216) 983-8030
Other practice location 3
29000 Center Ridge Rd
Westlake, OH 44145-5293
Phone (440) 835-8000
Other practice location 4
2351 E 22nd St Fl 7
Cleveland, OH 44115-3111
Phone (216) 592-2830
Other practice location 5
1730 W 25th St
Cleveland, OH 44113-3108
Phone (216) 696-4300
Other practice location 6
630 E River St
Elyria, OH 44035-5902
Phone (440) 329-7500
Other practice location 7
4200 Interchange Corporate Center Rd
Warrensville Heights, OH 44128-5631
Phone (216) 910-3800
Other practice location 8
6990 Engle Rd
Middleburg Heights, OH 44130-3420
Phone (440) 202-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2267096 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4220 Interchange Corporate Ctr Rd
Warrensville Heights, OH 44128
4220 Interchange Corporate Ctr Rd
Warrensville Heights, OH 44128
Phone (216) 910-3800
Practitioners & affiliated clinicians
Practitioners 275
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.
-
- Internal Medicine Physician
- Parma, OH
- NPI 1285772079
-
- Internal Medicine Physician
- Westlake, OH
- NPI 1558356535
-
- Internal Medicine Physician
- Bedford, OH
- NPI 1770557241
-
- Surgery Physician
- Cleveland, OH
- NPI 1003556572
-
- Plastic Surgery Physician
- Garfield Heights, OH
- NPI 1306814330
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Cleveland, OH
- NPI 1255832267
-
- Internal Medicine Physician
- Lakewood, OH
- NPI 1730139338
-
- Pulmonary Disease Physician
- Cleveland, OH
- NPI 1457391005
-
- Adult Health Nurse Practitioner
- Cleveland, OH
- NPI 1548697683
-
- Surgery Physician
- Norwalk, OH
- NPI 1962483842
-
- Emergency Medicine Physician
- Ashtabula, OH
- NPI 1922048057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1063575462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30575 BAINBRIDGE RD STE 200",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441392275",
"telephone_number": "440-542-5000",
"fax_number": "440-542-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18697 BAGLEY RD",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441303417",
"telephone_number": "440-542-5000",
"fax_number": "440-542-5005"
}
],
"practiceLocations": [
{
"address_1": "7007 Powers Blvd",
"address_purpose": "LOCATION",
"city": "Parma",
"state": "OH",
"postal_code": "441295437",
"country_code": "US",
"telephone_number": "440-743-4333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11900 Fairhill Rd",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441201062",
"country_code": "US",
"telephone_number": "216-983-8030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "29000 Center Ridge Rd",
"address_purpose": "LOCATION",
"city": "Westlake",
"state": "OH",
"postal_code": "441455293",
"country_code": "US",
"telephone_number": "440-835-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2351 E 22nd St Fl 7",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441153111",
"country_code": "US",
"telephone_number": "216-592-2830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1730 W 25th St",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441133108",
"country_code": "US",
"telephone_number": "216-696-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "630 E River St",
"address_purpose": "LOCATION",
"city": "Elyria",
"state": "OH",
"postal_code": "440355902",
"country_code": "US",
"telephone_number": "440-329-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4200 Interchange Corporate Center Rd",
"address_purpose": "LOCATION",
"city": "Warrensville Heights",
"state": "OH",
"postal_code": "441285631",
"country_code": "US",
"telephone_number": "216-910-3800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6990 Engle Rd",
"address_purpose": "LOCATION",
"city": "Middleburg Heights",
"state": "OH",
"postal_code": "441303420",
"country_code": "US",
"telephone_number": "440-202-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTH EAST OHIO GROUP PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "KLOSTERMAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "330-926-7974"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2267096",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middleburg Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.