Eastwest Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EASTWEST PRIMARY CARE LLC

Practice address

6789 Ridge Rd Ste 105
Parma, OH 44129-5635

Phone

(440) 299-3100

NPI assigned

Oct 28, 2024

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haitham Azem, MDNPI 1417967118

Title

Owner/Provider

Phone

(440) 299-3100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Haitham M Azem, M.D.

  • Internal Medicine Physician
  • Bedford, OH
  • NPI 1417967118
  Medicare reassignment Care Compare group NPD Authorized official
• Mary Therese Bargmann, CNP

  • Family Nurse Practitioner
  • Bedford, OH
  • NPI 1306540976
  Medicare reassignment Care Compare group NPD
• Linda Capwill

  • Adult Health Nurse Practitioner
  • Mayfield Heights, OH
  • NPI 1992349575
  Medicare reassignment Care Compare group NPD
• Christopher Lee Champion, CNP

  • Nurse Practitioner
  • Bedford, OH
  • NPI 1871099549
  Medicare reassignment Care Compare group NPD
• Kimberly Ann Ovalle, AGNP-C

  • Nurse Practitioner
  • Bedford, OH
  • NPI 1568753804
  Medicare reassignment Care Compare group NPD
• Christopher Joseph Thomas, DO

  • Internal Medicine Physician
  • Mason, OH
  • NPI 1427579283
  Medicare reassignment Care Compare group NPD
• Maria Derenzo

  • Medical Physician Assistant
  • Cleveland, OH
  • NPI 1508544529
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1144042474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6789 RIDGE RD STE 105",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295635",
            "telephone_number": "440-299-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6789 RIDGE RD STE 105",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295635",
            "telephone_number": "440-299-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6175 Som Center Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Solon",
            "state": "OH",
            "postal_code": "441392941",
            "country_code": "US",
            "telephone_number": "440-299-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EASTWEST PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "AZEM",
        "authorized_official_first_name": "HAITHAM",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "440-299-3100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Noelle Duvall
• Matthew Stephen Dyer, DO
• Mary Ann R Dzurec, PHARMD
• Diane M Dzurik, CRNA
• Erica Brooke Easley, RN
• Rayshawn Eberhardt
• Edenic Care
• James Joseph Edwards, MD
• Johnnie Edwards
• Lorri Ann Effron, M.D.

• Internal Medicine Physician in Parma, OH
• Providers in Parma, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.