Westshore Primary Care Assoc., Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WESTSHORE PRIMARY CARE ASSOC., INC.

Practice address

552 N Leavitt Rd
Amherst, OH 44001-1131

Phone

(440) 835-6996

Fax

(440) 808-9738

NPI assigned

Aug 6, 2012

Organization subpart

No

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

Authorized official

Name

Misty Blaylock

Title

Credentialing Coordinator

Phone

(440) 892-6406

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Westshore Primary Care Assoc Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

• Westshore Primary Care Assoc., Inc.

  • Obstetrics & Gynecology Physician
  • Westlake, OH
  • NPI 1013210079
  NPD tax ID
• Westshore Primary Care Assoc., Inc.

  • Family Medicine Physician
  • Fairview Park, OH
  • NPI 1023359023
  NPD tax ID
• Westshore Primary Care Assoc., Inc.

  • Internal Medicine Physician
  • Middleburg Heights, OH
  • NPI 1033434998
  NPD tax ID
• Westshore Primary Care Assoc., Inc.

  • Obstetrics & Gynecology Physician
  • Westlake, OH
  • NPI 1497037691
  NPD tax ID
• Westshore Primary Care Assoc., Inc.

  • Pediatrics Physician
  • Avon Lake, OH
  • NPI 1548593361
  NPD tax ID
• Westshore Primary Care Assoc., Inc.

  • Obstetrics & Gynecology Physician
  • Westlake, OH
  • NPI 1942503909
  NPD tax ID
• Westshore Primary Care Assoc., Inc.

  • Internal Medicine Physician
  • Avon, OH
  • NPI 1992034516
  NPD tax ID

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1255688644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 DETROIT RD",
            "address_2": "SUITE 301",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452398",
            "telephone_number": "440-617-1823",
            "fax_number": "440-617-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 N LEAVITT RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011131",
            "telephone_number": "440-835-6996",
            "fax_number": "440-808-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSHORE PRIMARY CARE ASSOC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "BLAYLOCK",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "440-892-6406"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0858077",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Carl Watson, DC
• Susan Watson
• Virginia Webb
• Wellstreet of Georgia PC
• Kirsten Wengerd, OTR/L
• Kelsie Whalen, OTD
• James White, R.PH.
• Stacey L Whiteamire, M.A. CCC S.L.P.
• Amber Mackenzie Whited-Watson, DO
• William S Mirando MD LLC

• Obstetrics & Gynecology Physician in Amherst, OH
• Providers in Amherst, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.