Active NPI
Tarek Elsawy, M.D., LLC
- Internal Medicine Physician
- Garfield Heights, OH
National Provider Identifier
1174714307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35067959
- Legal business name
- TAREK ELSAWY, M.D., LLC
- Practice address
- 5555 Transportation Blvd
Garfield Heights, OH 44125-5371 - Phone
- (440) 543-9810
- Fax
- (440) 543-1591
- NPI assigned
- Aug 5, 2007
- 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
- Tarek Elsawy, M.D
- Title
- Internal Medicine
- Phone
- (440) 543-9810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35067959 | OH | Primary |
Addresses
Primary practice location
5555 Transportation Blvd
Garfield Heights, OH 44125-5371
Mailing address
275 Springside Dr
Akron, OH 44333-4548
Phone (330) 670-5316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0417906 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1174714307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 SPRINGSIDE DR",
"city": "AKRON",
"state": "OH",
"postal_code": "443334548",
"telephone_number": "330-670-5316",
"fax_number": "866-211-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 TRANSPORTATION BLVD",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "441255371",
"telephone_number": "440-543-9810",
"fax_number": "440-543-1591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAREK ELSAWY, M.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "ELSAWY",
"authorized_official_first_name": "TAREK",
"authorized_official_title_or_position": "INTERNAL MEDICINE",
"authorized_official_telephone_number": "440-543-9810",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": "35067959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0417906",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.