Active NPI
Aleksandar Simic, RN
- Registered Nurse
- Beachwood, OH
National Provider Identifier
1245699826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.400244
- Practice address
- 24200 Chagrin Blvd
Beachwood, OH 44122-5550 - Phone
- (216) 831-6466
- Fax
- (216) 766-6084
- NPI assigned
- Feb 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.400244 | OH | Primary |
Addresses
Primary practice location
24200 Chagrin Blvd
Beachwood, OH 44122-5550
Mailing address
6412 Regency Dr
Parma, OH 44129-6107
Phone (440) 382-9529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.400244 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1245699826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6412 REGENCY DR",
"city": "PARMA",
"state": "OH",
"postal_code": "441296107",
"telephone_number": "440-382-9529",
"fax_number": "216-766-6084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24200 CHAGRIN BLVD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225550",
"telephone_number": "216-831-6466",
"fax_number": "216-766-6084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMIC",
"first_name": "ALEKSANDAR",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-11",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.400244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.