Health Care Group Providers LLC
Organization Active NPI Internal Medicine Physician · Warrensville Heights, OH
NPI 1114997178 · NPPES record last updated Dec 11, 2007
Key facts
- NPI
- 1114997178
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- HEALTH CARE GROUP PROVIDERS LLC
- Practice address
- 20050 Harvard Ave
Suite 304
Warrensville Heights, OH 44122-6816 - Phone
- (216) 283-0750
- Fax
- (216) 491-6374
- NPI assigned
- Jan 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Geeta Gupta, MD
- Title
- President
- Phone
- (216) 283-0750
Practitioners 4
-
Geeta Gupta, MD
-
Michele A Dula, CNP
-
Sue E Keyse, CNP
National Provider Directory
Locations
4200 Warrensville Center Rd
Ste 353
Warrensville Heights, OH 44122
Phone (216) 283-0750
20050 Harvard Ave
Ste 304
Warrensville Heights, OH 44122
Phone (216) 283-0750
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
20050 Harvard Ave
Suite 304
Warrensville Heights, OH 44122-6816
Mailing address
20050 Harvard Ave
Suite 304
Warrensville Heights, OH 44122-6816
Phone (216) 283-0750
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2544401 | Medicaid | OH |
NPI Registry JSON
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197331200000",
"number": "1114997178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20050 HARVARD AVE",
"address_2": "SUITE 304",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441226816",
"telephone_number": "216-283-0750",
"fax_number": "216-491-6374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20050 HARVARD AVE",
"address_2": "SUITE 304",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441226816",
"telephone_number": "216-283-0750",
"fax_number": "216-491-6374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH CARE GROUP PROVIDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-24",
"last_updated": "2007-12-11",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "GEETA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-283-0750",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2544401",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrensville Heights, OH
- Brianne Ellyse Hart
- Olga Hartley
- Bobby Hasan
- Tionna Haugabrook
- Francesca Haupricht
- Ryan Heaney
- Heart to Heart Health and Wellness
- Heart to Heart Health and Wellness
- Nicole Hegeman
- Acquanetta Hemphill
All providers in Warrensville Heights, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.