Organization Active NPI

Emmanuel Elueze MD Inc

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1225257579
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-073719 Issued in OH
Legal business name
EMMANUEL ELUEZE MD INC
Practice address
7963 Euclid Ave
2ND Floor
Cleveland, OH 44103-4226
Phone
(216) 431-1500
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Emmanuel Elueze, M.D.
Title
Owner
Phone
(216) 431-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35-073719 OH Primary

Addresses

Primary practice location

7963 Euclid Ave
2ND Floor
Cleveland, OH 44103-4226

Mailing address

4758 Ridge Rd
#161
Cleveland, OH 44144-3327
Phone (440) 236-8484

Other identifiers 1

IdentifierTypeStateIssuer
2064788MedicaidOH

National Provider Directory

National Provider Directory

Locations

7963 Euclid Ave
Fl 2
Cleveland, OH 44103
Phone (216) 250-2050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1225257579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 RIDGE RD",
            "address_2": "#161",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441443327",
            "telephone_number": "440-236-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7963 EUCLID AVE",
            "address_2": "2ND FLOOR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034226",
            "telephone_number": "216-431-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL ELUEZE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "ELUEZE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-431-1500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-073719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064788",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.