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 NPI 1538151378
Title
President
Phone
(216) 283-0750

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
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

IdentifierTypeStateIssuer
2544401MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 11, 2007.

{
    "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

All providers in Warrensville Heights, OH · Internal Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.