NPIMap

Organization Active NPI

Encore Clinical Services LLC

Doing business as Medarbor Clinical Services

  • Nurse Practitioner
  • North Royalton, OH
National Provider Identifier
1184346140
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ENCORE CLINICAL SERVICES LLC
Doing business as
Medarbor Clinical Services
Practice address
12301 Ridge Rd
North Royalton, OH 44133-3744
Phone
(440) 652-8748
Fax
(440) 582-3171
NPI assigned
Sep 16, 2022
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Mr. Miroslav Kesic
Title
Owner
Phone
(609) 513-5006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

12301 Ridge Rd
North Royalton, OH 44133-3744

Mailing address

12301 Ridge Rd
North Royalton, OH 44133-3744
Phone (440) 582-3171

Other names 1

  • MEDARBOR CLINICAL SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230214000351 OH Part B Supplier - Clinic/Group Practice 5991177313 Receives reassigned benefits from 68 practitioners
Practice locations: North Royalton, OH

National Provider Directory

National Provider Directory

Locations

7575 Northcliff Ave
Ste 103
Cleveland, OH 44144
Phone (216) 205-4862

Practitioners & affiliated clinicians

Practitioners 73

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1184346140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 RIDGE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333744",
            "telephone_number": "440-582-3171",
            "fax_number": "440-582-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 RIDGE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333744",
            "telephone_number": "440-652-8748",
            "fax_number": "440-582-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "KESIC",
        "authorized_official_first_name": "MIROSLAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-513-5006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDARBOR CLINICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.

Verify at the official NPI Registry.