Organization Active NPI

Cle Medical & Rehabilitation LLC

  • General Practice Physician
  • Cleveland, OH
National Provider Identifier
1093237802
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CLE MEDICAL & REHABILITATION LLC
Practice address
1701 E 12TH Street
WG 240
Cleveland, OH 44114
Phone
(216) 621-5275
Fax
(216) 621-6711
NPI assigned
Jul 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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

Authorized official

Name
Mr. Georg Abakumov, ESQ.
Title
Member
Phone
(216) 621-5275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1701 E 12TH Street
WG 240
Cleveland, OH 44114

Mailing address

1701 E 12TH Street
WG 240
Cleveland, OH 44114
Phone (216) 621-5275

National Provider Directory

National Provider Directory

Locations

1701 E 12th St
#240
Cleveland, OH 44114
Phone (216) 621-5275

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1093237802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E 12TH STREET",
            "address_2": "WG 240",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44114",
            "telephone_number": "216-621-5275",
            "fax_number": "216-621-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E 12TH STREET",
            "address_2": "WG 240",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44114",
            "telephone_number": "216-621-5275",
            "fax_number": "216-621-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLE MEDICAL & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "ABAKUMOV",
        "authorized_official_first_name": "GEORG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "216-621-5275",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.