Physicians Medical Group

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC.2901 Issued in OH

Legal business name

PHYSICIANS MEDICAL GROUP

Practice address

6900 Ridge Rd
Parma, OH 44129-5650

Phone

(330) 302-4136

Fax

(330) 302-4083

NPI assigned

Oct 3, 2016

Organization subpart

No

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

Authorized official

Name

Miss Dawn Shirey

Title

Manager

Phone

(330) 302-4136

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Diane Cimino

  • Massage Therapist
  • Parma, OH
  • NPI 1184316408
  NPD
• John A Kostoglou, DC

  • Chiropractor
  • Parma, OH
  • NPI 1235203019
  NPD
• Christy M Peabody

  • Clinical Exercise Physiologist
  • Parma, OH
  • NPI 1245922566
  NPD
• Aimee Beth Reveglia, MT

  • Massage Therapist
  • Parma, OH
  • NPI 1356174627
  NPD

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1245789288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295650",
            "telephone_number": "330-302-4136",
            "fax_number": "330-302-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295650",
            "telephone_number": "330-302-4136",
            "fax_number": "330-302-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "SHIREY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "330-302-4136",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "DC.2901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Channagiri Phanindra, M.D
• Cherie Renee Phillips, M.D.
• Michael J Phillips, PHARMD, RPH
• Michelle Kay Phillips, LPN
• Honey B Philpot, STNA
• Mary Bridget Piepsny, RPH
• Halie Michelle Pietrzyk, M.A., CCC-SLP
• Meredith Piovarchy, M.A.CCC-SLP
• Jennifer-Lee Pistone, CNP
• Plan Be Hospice & Health Services, LLC (Legacy Health Services)

• Sports Physician Chiropractor in Parma, OH
• Providers in Parma, OH by specialty
• Sports Physician Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.