Active NPI
Neurosurgical Specialists PC
- Neurological Surgery Physician
- Parma, OH
National Provider Identifier
1124209242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 35083165
- Legal business name
- NEUROSURGICAL SPECIALISTS PC
- Practice address
- 6900 Ridge Rd
Suite 202
Parma, OH 44129-5650 - Phone
- (440) 888-7360
- NPI assigned
- Nov 16, 2007
- 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
- Peter Fragatos, MD
- Title
- Owner
- Phone
- (440) 888-7360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 35083165 | OH | Primary |
Addresses
Primary practice location
6900 Ridge Rd
Suite 202
Parma, OH 44129-5650
Mailing address
6900 Ridge Rd
Suite 202
Parma, OH 44129-5650
Phone (440) 888-7360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE3706 | Other | OH | RR MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195171200000",
"number": "1124209242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 RIDGE RD",
"address_2": "SUITE 202",
"city": "PARMA",
"state": "OH",
"postal_code": "441295650",
"telephone_number": "440-888-7360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 RIDGE RD",
"address_2": "SUITE 202",
"city": "PARMA",
"state": "OH",
"postal_code": "441295650",
"telephone_number": "440-888-7360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROSURGICAL SPECIALISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-16",
"last_updated": "2007-11-16",
"status": "A",
"authorized_official_last_name": "FRAGATOS",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-888-7360",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "OH",
"license": "35083165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DE3706",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.