NPIMap

Organization Active NPI

Montefiore Physician Corporation Inc

  • Internal Medicine Physician
  • Beachwood, OH
National Provider Identifier
1306165154
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35043714 Issued in OH
Legal business name
MONTEFIORE PHYSICIAN CORPORATION INC
Practice address
One David N Myers Parkway
Beachwood, OH 44122-1162
Phone
(216) 910-2641
Fax
(216) 910-2299
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Ms. Lauren B Rock, LNHA
Title
President-Ceo
Phone
(216) 910-2641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35043714 OH Primary

Addresses

Primary practice location

One David N Myers Parkway
Beachwood, OH 44122-1162

Mailing address

One David N Myers Parkway
Beachwood, OH 44122-1162
Phone (216) 910-2641

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1306165154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE DAVID N MYERS PARKWAY",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221162",
            "telephone_number": "216-910-2641",
            "fax_number": "216-910-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE DAVID N MYERS PARKWAY",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221162",
            "telephone_number": "216-910-2641",
            "fax_number": "216-910-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEFIORE PHYSICIAN CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "216-910-2641",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35043714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.