Cleveland Breast Clinic

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

CLEVELAND BREAST CLINIC

Practice address

18660 Bagley Rd
Ste. 305 BLDG. 2
Cleveland, OH 44130-3483

Phone

(440) 234-9338

Fax

(440) 234-1448

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmad H. Shatila, M.D.NPI 1568562031

Title

Physician Owner

Phone

(440) 234-9338

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ahmad H. Shatila, M. D.

  • Surgical Oncology Physician
  • Middleburg Heights, OH
  • NPI 1568562031
  Authorized official Same address or phone

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215155015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD",
            "address_2": "STE. 305 BLDG. 2",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303483",
            "telephone_number": "440-234-9338",
            "fax_number": "440-234-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD",
            "address_2": "STE. 305 BLDG. 2",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303483",
            "telephone_number": "440-234-9338",
            "fax_number": "440-234-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND BREAST CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHATILA",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "440-234-9338",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cleveland Arts & Social Sciences Academy
• Cleveland Arts and Wellness Center
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• Cleveland Back & Pain Management Center Inc.
• Cleveland Biologicals Inc.
• Cleveland Center for Family Dentistry Inc
• Cleveland Center for Joint Reconstruction, Inc
• Cleveland Christian Home
• Cleveland Christian Home
• Cleveland Christian Hospice Care

• Surgical Oncology Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Surgical Oncology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.