Active NPI
Joel D. Weisblat, M.D., Inc.
- Primary Care Clinic/Center
- Beachwood, OH
National Provider Identifier
1164477477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 35-064937
- Legal business name
- JOEL D. WEISBLAT, M.D., INC.
- Practice address
- 23250 Mercantile Rd Ste 140
Beachwood, OH 44122-5928 - Phone
- (216) 464-4646
- Fax
- (216) 464-4695
- NPI assigned
- May 24, 2006
- 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
- Dr. Joel David Weisblat, M.D.
- Title
- President
- Phone
- (216) 464-4646
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 35-064937 | OH | Primary |
Addresses
Primary practice location
23250 Mercantile Rd Ste 140
Beachwood, OH 44122-5928
Mailing address
23250 Mercantile Rd Ste 140
Beachwood, OH 44122-5928
Phone (216) 464-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NY
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
244 5th Ave
Ste G264
New York, NY 10001
Phone (216) 464-4696
23250 Mercantile Rd
Ste 140
Beachwood, OH 44122
Phone (216) 464-4646
Interoperability endpoints
- https://api.platform.athenahealth.com/11849/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Cleveland, OH
- NPI 1174825244
-
- Internal Medicine Physician
- Beachwood, OH
- NPI 1841249422
-
- General Practice Physician
- Beachwood, OH
- NPI 1598850042
-
- Behavior Technician
- Monrovia, CA
- NPI 1932994399
-
- Registered Dietitian
- Beachwood, OH
- NPI 1003239609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1164477477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23250 MERCANTILE RD STE 140",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225928",
"telephone_number": "216-464-4646",
"fax_number": "216-464-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23250 MERCANTILE RD STE 140",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225928",
"telephone_number": "216-464-4646",
"fax_number": "216-464-4695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOEL D. WEISBLAT, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2024-07-15",
"certification_date": "2024-06-27",
"status": "A",
"authorized_official_last_name": "WEISBLAT",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-464-4646",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OH",
"license": "35-064937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.