NPIMap

Organization Active NPI

Kiva Shtull MD

  • Corporate Health Clinic/Center
  • Cleveland, OH
National Provider Identifier
1255740619
Registry record updated Aug 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
051031 Issued in OH
Legal business name
KIVA SHTULL MD
Practice address
4450 Saint Clair Ave
Cleveland, OH 44103-1126
Phone
(216) 431-0927
NPI assigned
Aug 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2014

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

Authorized official

Name
Dr. Kiva Shtull, MDNPI 1437555786
Title
Physician
Phone
(216) 431-0927

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X 051031 OH Primary

Addresses

Primary practice location

4450 Saint Clair Ave
Cleveland, OH 44103-1126

Mailing address

4450 Saint Clair Ave
Cleveland, OH 44103-1126
Phone (216) 431-0927

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1407628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407628800000",
    "number": "1255740619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441031126",
            "telephone_number": "216-431-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441031126",
            "telephone_number": "216-431-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIVA SHTULL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-10",
        "last_updated": "2014-08-10",
        "status": "A",
        "authorized_official_last_name": "SHTULL",
        "authorized_official_first_name": "KIVA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "216-431-0927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "OH",
            "license": "051031",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 10, 2014; 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.