Healthspan Physicians, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HEALTHSPAN PHYSICIANS, LLC

Practice address

10 Severance Cir
Cleveland Heights, OH 44118-1533

Phone

(216) 297-2300

Fax

(216) 297-2805

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Michael Mileca

Title

Revenue Cycle Manager

Phone

(216) 265-8811

Specialties & licenses 1

Addresses

Other names 1

• HealthSpan Physicians - Cleveland Heights Doing business as

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1285046649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 SNOW RD",
            "address_2": "REVENUE CYCLE DEPARTMENT",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301002",
            "telephone_number": "866-265-8844",
            "fax_number": "216-265-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SEVERANCE CIR",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181533",
            "telephone_number": "216-297-2300",
            "fax_number": "216-297-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSPAN PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "MILECA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "216-265-8811"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSpan Physicians - Cleveland Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucky Jean Harris
• Michelle F Harris, PH.D.
• Kimberley Dedraette Hart-Ogburn, LPCC
• Patrick Healey, N.D.
• Healthspan Integrated Care
• Healthy Healing LLC
• Healthy Healing LLC
• Hearthside Counseling LLC
• Deborah M. Hefling, LISW
• Heights Family Dental Jonathan J Klineman DDS Inc

• Durable Medical Equipment & Medical Supplies in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.