Active NPI
RPM Oh Corp
- Primary Care Clinic/Center
- Avon Lake, OH
National Provider Identifier
1114720844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.