Active NPI
Central Ohio Valley Practitioners LLC
- Geriatric Medicine (Internal Medicine) Physician
- Parma, OH
National Provider Identifier
1295227486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- CENTRAL OHIO VALLEY PRACTITIONERS LLC
- Practice address
- 6681 Ridge Rd Ste 300
Parma, OH 44129-5705 - Phone
- (440) 842-8675
- Fax
- (440) 842-1299
- NPI assigned
- Jun 4, 2018
- 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
- Kourosh Saghafi, DO
- Title
- President
- Phone
- (440) 842-8675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
6681 Ridge Rd Ste 300
Parma, OH 44129-5705
Mailing address
30701 Lorain Rd Ste a
North Olmsted, OH 44070-6325
Phone (440) 274-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34006341 | Other | OH | OHIO MEDICAL BOARD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528070400000",
"number": "1295227486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30701 LORAIN RD STE A",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440706325",
"telephone_number": "440-274-5000",
"fax_number": "440-716-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6681 RIDGE RD STE 300",
"city": "PARMA",
"state": "OH",
"postal_code": "441295705",
"telephone_number": "440-842-8675",
"fax_number": "440-842-1299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL OHIO VALLEY PRACTITIONERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-04",
"last_updated": "2018-06-04",
"status": "A",
"authorized_official_last_name": "SAGHAFI",
"authorized_official_first_name": "KOUROSH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "440-842-8675",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAL BOARD",
"identifier": "34006341",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.