Active NPI
Severance Radiology Services, Inc.
- Diagnostic Ultrasound Physician
- Cleveland Heights, OH
National Provider Identifier
1063585628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- SEVERANCE RADIOLOGY SERVICES, INC.
- Practice address
- 5 Severance Cir
Suite 207
Cleveland Heights, OH 44118-1566 - Phone
- (216) 382-7165
- Fax
- (216) 382-7166
- NPI assigned
- Nov 15, 2006
- 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
- Mrs. Elizabeth Nolan
- Title
- Owner
- Phone
- (216) 382-7165
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | Primary |
Addresses
Primary practice location
5 Severance Cir
Suite 207
Cleveland Heights, OH 44118-1566
Mailing address
5 Severance Cir
Suite 207
Cleveland Heights, OH 44118-1566
Phone (216) 382-7165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09913601779 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
5 Severance Cir
Ste 207
Cleveland Heights, OH 44118
Phone (216) 382-7165
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Cleveland Heights, OH
- NPI 1740353010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1063585628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SEVERANCE CIR",
"address_2": "SUITE 207",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181566",
"telephone_number": "216-382-7165",
"fax_number": "216-382-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SEVERANCE CIR",
"address_2": "SUITE 207",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181566",
"telephone_number": "216-382-7165",
"fax_number": "216-382-7166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEVERANCE RADIOLOGY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "NOLAN",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-382-7165",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09913601779",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.