Active NPI
FPB Clinical Practice LLC
- Health Service Clinic/Center
- Cleveland, OH
National Provider Identifier
1154826378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- FPB CLINICAL PRACTICE LLC
- Practice address
- 2181 Ambleside Dr
Cleveland, OH 44106-4645 - Phone
- (216) 721-1234
- NPI assigned
- Mar 28, 2018
- 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
- Mrs. Marie Diana Grosh, NP
- Title
- Administrator
- Phone
- (216) 368-5337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
2181 Ambleside Dr
Cleveland, OH 44106-4645
Mailing address
2120 Cornell Road No215A
No215A
Cleveland, OH 44106
Phone (216) 368-5337
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Clinical Pathology/Laboratory Medicine Physician
- Cleveland, OH
- NPI 1821390444
Member Of
Locations
2120 Cornell Rd
#215A
Cleveland, OH 44106
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Warrensville Heights, OH
- NPI 1467593525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522195200000",
"number": "1154826378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 CORNELL ROAD NO215A",
"address_2": "NO215A",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44106",
"telephone_number": "216-368-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2181 AMBLESIDE DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441064645",
"telephone_number": "216-721-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FPB CLINICAL PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-28",
"last_updated": "2018-03-28",
"status": "A",
"authorized_official_last_name": "GROSH",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "DIANA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "216-368-5337",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.