Organization Active NPI

RPM Oh Corp

  • Primary Care Clinic/Center
  • Avon Lake, OH
National Provider Identifier
1114720844
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RPM OH CORP
Practice address
154 Centennial Dr
Avon Lake, OH 44012-1335
Phone
(630) 281-7264
NPI assigned
Mar 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Faisal Khan
Title
Director
Phone
(630) 327-9065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

154 Centennial Dr
Avon Lake, OH 44012-1335

Mailing address

4355 Weaver Pkwy Ste 320
Warrenville, IL 60555-4052

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1114720844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 WEAVER PKWY STE 320",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 CENTENNIAL DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121335",
            "telephone_number": "630-281-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RPM OH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-327-9065"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Lake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.