Imex Inc
Organization Active NPI Occupational Medicine Physician · Chesterland, OH
NPI 1194229427 · NPPES record last updated Dec 5, 2018
Key facts
- NPI
- 1194229427
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Medicine Physician 2083X0100X
- Legal business name
- IMEX INC
- Practice address
- 8251 Mayfield Rd Ste 105
Chesterland, OH 44026 - Phone
- (216) 504-0400
- NPI assigned
- Mar 21, 2018
- Organization subpart
- No
Authorized official
- Name
- Kevin Trangle, MD, MBA
- Title
- Owner
- Phone
- (216) 504-0400
Practitioners 56
-
Antonio Dante Conway, LPCC, LICDC
-
Katherine Ann Fanta, LPC
-
Fatimaah D Fullilove, LSW, LICDC
-
Shawn Hardy, CDCA
-
Paula Hunt, CDCA
-
Roderic Kenneth Johnson, CDCA
-
Kelly Marie Keiffer, CDCA
-
Alexandria M Kugler, LPC
National Provider Directory
Locations
8251 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (216) 504-0400
3622 Prospect Ave E
Cleveland, OH 44115
Phone (216) 404-1900
6150 Parkland Blvd
Ste 110
Mayfield Hts, OH 44124
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Addiction Medicine (Internal Medicine) Physician |
207RA0401X | |||
| Occupational Medicine Physician |
2083X0100X | Yes | ||
| Addiction Medicine (Psychiatry & Neurology) Physician |
2084A0401X |
Addresses
Primary practice location
8251 Mayfield Rd Ste 105
Chesterland, OH 44026
Mailing address
6150 Parkland Blvd Ste 110
Mayfield Heights, OH 44124-4103
Phone (216) 504-0400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055028 | Medicaid | OH | |
| 0277816 | Medicaid | OH |
Other names
- KTA MAT & Recovery
Other providers in Chesterland, OH
- Jill Ann Harmat
- Michael Thomas Hauman
- Kristina Hoehnen
- Hometown Optical LLC
- Iasc Counseling Services Inc
- In Step With Horses
- James M Drockton DDS LLC
- Dennis Lawrence Jensen
- Jewish Family Service Association
- Kelly Lynn Kelly
All providers in Chesterland, OH · Occupational Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.