Active NPI
Cleveland Cardiovascular Research Foundation
- Research Clinic/Center
- Fairview Park, OH
National Provider Identifier
1104178631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Clinic/Center
- Legal business name
- CLEVELAND CARDIOVASCULAR RESEARCH FOUNDATION
- Practice address
- 20455 Lorain Rd
#200
Fairview Park, OH 44126-3494 - Phone
- (440) 333-8600
- Fax
- (216) 373-0877
- NPI assigned
- Oct 8, 2012
- Organization subpart
- Yes
- Parent organization
- WEST SIDE CARDIOLOGY ASSOCIATES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emad M Nukta, MD
- Title
- Vice President
- Phone
- (440) 333-8600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Clinic/Center | 261QR1100X | Primary |
Addresses
Primary practice location
20455 Lorain Rd
#200
Fairview Park, OH 44126-3494
Mailing address
20455 Lorain Rd
#200
Fairview Park, OH 44126-3494
Phone (440) 333-8600
National Provider Directory
National Provider Directory- Part of
- West Side Cardiology Assoc
Locations
20455 Lorain Rd
Ste 200
Fairview Park, OH 44126
Phone (440) 333-8600
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Cardiovascular Disease Physician
- Fairview Park, OH
- NPI 1386697621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349654400000",
"number": "1104178631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20455 LORAIN RD",
"address_2": "#200",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441263494",
"telephone_number": "440-333-8600",
"fax_number": "216-373-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20455 LORAIN RD",
"address_2": "#200",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441263494",
"telephone_number": "440-333-8600",
"fax_number": "216-373-0877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELAND CARDIOVASCULAR RESEARCH FOUNDATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WEST SIDE CARDIOLOGY ASSOCIATES, INC.",
"enumeration_date": "2012-10-08",
"last_updated": "2012-10-08",
"status": "A",
"authorized_official_last_name": "NUKTA",
"authorized_official_first_name": "EMAD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "440-333-8600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairview Park, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.