Healthspan Physicians, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HEALTHSPAN PHYSICIANS, LLC

Practice address

20575 Center Ridge Rd
Suite 502
Rocky River, OH 44116-3422

Phone

(440) 895-3900

Fax

(440) 895-3957

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Michael Mileca

Title

Revenue Cycle Manager

Phone

(216) 265-8811

Specialties & licenses 1

Addresses

Other names 1

• HealthSpan Physicians - Rocky River Doing business as

Locations

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1174935563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 SNOW RD",
            "address_2": "REVENUE CYCLE DEPARTMENT",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301002",
            "telephone_number": "866-265-8844",
            "fax_number": "216-265-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20575 CENTER RIDGE RD",
            "address_2": "SUITE 502",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163422",
            "telephone_number": "440-895-3900",
            "fax_number": "440-895-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSPAN PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "MILECA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "216-265-8811"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSpan Physicians - Rocky River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Haskins
• Hadley Hatteberg, LPCC, NCC
• Justin W Havemann, M.D.
• Healing Pathways Cleveland, LLC
• Healthspan Integrated Care
• Anthony J Heibili, D.D.S.
• Kathleen T. Heinlen, PH.D., PCC-S
• Daniel Paul Herman
• Lindsay Marie Hibinger, M.ED, BCBA, COBA
• Kelly Ann Hihn, PHARMD

• Durable Medical Equipment & Medical Supplies in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.