Westshore Primary Care Assoc., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WESTSHORE PRIMARY CARE ASSOC., INC.

Practice address

28575 Westlake Village Dr
Westlake, OH 44145-3883

Phone

(440) 892-4200

NPI assigned

Feb 19, 2008

Last updated

Jan 12, 2010By 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

Misty A Blaylock

Title

Credentialing Coordinator

Phone

(440) 892-6406

Specialties & licenses 1

Addresses

Locations

Practitioners 22

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.

• Vickie E Baker, M.D.

  • Family Medicine Physician
  • Cleveland, OH
  • NPI 1346205614
  NPD (past)
• Abby L Harting, CNP

  • Family Nurse Practitioner
  • North Olmsted, OH
  • NPI 1952885295
  NPD (past)
• Lauren Elizabeth Kerr, M.D.

  • Obstetrics & Gynecology Physician
  • Westlake, OH
  • NPI 1861621344
  NPD (past)
• Mary R Klein, MD

  • Family Medicine Physician
  • Cleveland, OH
  • NPI 1306848114
  NPD (past)
• Roger A Mansnerus, MD

  • Internal Medicine Physician
  • Westlake, OH
  • NPI 1659373538
  NPD (past)
• Michele Moore, D.O.

  • Family Medicine Physician
  • Brooklyn, OH
  • NPI 1255433371
  NPD (past)
• Michelle R Riley, DO

  • Internal Medicine Physician
  • Avon, OH
  • NPI 1952370090
  NPD (past)
• Sue T Suglio, RD, LD, CDE

  • Registered Dietitian
  • Westlake, OH
  • NPI 1558363457
  NPD (past)
• Rajendran Sundaram, MD

  • Internal Medicine Physician
  • Lorain, OH
  • NPI 1396731865
  NPD (past)
• Agnes Thomas, MD

  • Family Medicine Physician
  • Westlake, OH
  • NPI 1700878485
  NPD (past)
• Robin A Thomas, D.O.

  • Internal Medicine Physician
  • Richmond HTS, OH
  • NPI 1912955808
  NPD (past)
• John J Wolf III, DO

  • Family Medicine Physician
  • Westlake, OH
  • NPI 1689666737
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1154599504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 DETROIT RD",
            "address_2": "SUITE 301",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452398",
            "telephone_number": "440-617-1823",
            "fax_number": "440-617-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28575 WESTLAKE VILLAGE DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453883",
            "telephone_number": "440-892-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSHORE PRIMARY CARE ASSOC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "BLAYLOCK",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "440-892-6406"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westshore Dermatology Inc
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• Westshore Primary Care Assoc., Inc.
• Westside Behavioral Health, LLC (Erin Cooper, PhD)
• Westside Hematology Oncology Inc
• Westside Medicine & Cardiology Inc

• Internal Medicine Physician in Westlake, OH
• Providers in Westlake, 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 Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.