Birchcrest Holdings, LLC

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

BIRCHCREST HOLDINGS, LLC

Doing business as

Pdi South

Practice address

4760 Richmond Rd Ste 300
Cleveland, OH 44128

Phone

(216) 765-8390

Fax

(216) 765-8392

NPI assigned

Jan 3, 2011

Organization subpart

No

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

Authorized official

Name

Jack Cornell

Title

President

Phone

(216) 765-8390

Specialties & licenses 2

Addresses

Other names 1

• PDI SOUTH Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• JCC, LLC

  dba Pdi Dayton

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Dayton, OH
  • NPI 1144466293

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1164726360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 RICHMOND RD STE 300",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285979",
            "telephone_number": "216-765-8390",
            "fax_number": "216-765-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 RICHMOND RD STE 300",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44128",
            "telephone_number": "216-765-8390",
            "fax_number": "216-765-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHCREST HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-765-8390"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDI SOUTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PDI SOUTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oluwabusola Anuoluwapo Binutu, M.D.
• Bio Chip Labs
• Bio Phlebotomy of Greater Cleveland
• Kavya Biradar, DO
• Danielle Monique Birch
• Birchcrest Holdings, LLC
• Heather M Bird, CRNA
• John Paul Birdsell, PA-C
• Katherine E Birdsell, RN NP
• Meredith Birdwhistell, M.D.

• Body Imaging Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Body Imaging Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.