Organization Active NPI

Severance Radiology Services, Inc.

  • Diagnostic Ultrasound Physician
  • Cleveland Heights, OH
National Provider Identifier
1063585628
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
09913601779MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.