Active NPI
Xcell Medical Group
- Multi-Specialty Clinic/Center
- Elyria, OH
National Provider Identifier
1295149243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- XCELL MEDICAL GROUP
- Practice address
- 710 Leona St
Elyria, OH 44035-2349 - Phone
- (440) 324-0092
- Fax
- (440) 324-0093
- NPI assigned
- Jun 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Conroy
- Title
- Office Manager
- Phone
- (216) 759-9306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
710 Leona St
Elyria, OH 44035-2349
Mailing address
710 Leona St
Elyria, OH 44035-2349
Phone (440) 324-0092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2210605 | Xcell Medical Group | Certificate of waiver | Jan 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
710A Leona St
Elyria, OH 44035
Phone (440) 324-0092
710 Leona St
Elyria, OH 44035
Phone (440) 324-0092
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Vermilion, OH
- NPI 1487881835
-
- Family Nurse Practitioner
- Elyria, OH
- NPI 1609257005
-
- Physician Assistant
- Brooklyn, OH
- NPI 1376166215
-
- Family Nurse Practitioner
- Lorain, OH
- NPI 1124474499
-
- Orthopaedic Surgery Physician
- Fairview Park, OH
- NPI 1821376559
-
- Chiropractor
- Elyria, OH
- NPI 1720080526
-
- Physical Therapist
- Elyria, OH
- NPI 1073125795
-
- Medical Physician Assistant
- Westlake, OH
- NPI 1134613664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403049600000",
"number": "1295149243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 LEONA ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440352349",
"telephone_number": "440-324-0092",
"fax_number": "440-324-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 LEONA ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440352349",
"telephone_number": "440-324-0092",
"fax_number": "440-324-0093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XCELL MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-18",
"last_updated": "2014-06-18",
"status": "A",
"authorized_official_last_name": "CONROY",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "216-759-9306"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.