Cleveland Medical Management LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLEVELAND MEDICAL MANAGEMENT LLC

Doing business as

Willard Medical and Diagnostics - AMOH

Practice address

117 Blossom Centre Blvd Ste 105
Willard, OH 44890-9317

Phone

(419) 561-4552

Fax

(513) 712-4573

NPI assigned

May 11, 2026

Last updated

May 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corby Johnson

Title

Administrator

Phone

(800) 423-6078

Specialties & licenses 1

Addresses

Other names 1

• Willard Medical and Diagnostics - AMOH Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cleveland Medical Management LLC

  • Nephrology Physician
  • Lebanon, OH
  • NPI 1730929464

  O20241016003126

  Same enrollment

Tax ID family

Cleveland Medical Management LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Cleveland Medical Management LLC

  dba Willard Medical and Diagnostics - AMOH

  • Rural Health Clinic/Center
  • Willard, OH
  • NPI 1689502882
  NPD tax ID
• Cleveland Medical Management LLC

  • Nephrology Physician
  • Lebanon, OH
  • NPI 1730929464
  NPD tax ID

Locations

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1306774500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BLOSSOM CENTRE BLVD STE 105",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448909317",
            "telephone_number": "419-561-4552",
            "fax_number": "513-712-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BLOSSOM CENTRE BLVD STE 105",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448909317",
            "telephone_number": "419-561-4552",
            "fax_number": "513-712-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND MEDICAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CORBY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "800-423-6078"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willard Medical and Diagnostics - AMOH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Ann Carrick, LPN
• Checker Emergency Physicians, LLC
• Christopher J. Bohach DPM, Inc.
• City of Blossoms Inpatient Services LLC
• City of Willard (Willard Fire & Rescue)
• Cleveland Medical Management LLC (Willard Medical and Diagnostics - AMOH)
• Nicole Rene Cline, CDCA
• Matthew Aaron Clingman, MSN, RN, FNP-BC
• Kyle Conley
• Ronda Jean Conti, LPTA

• Clinic/Center in Willard, OH
• Providers in Willard, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.