Myton Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35067681 Issued in OH

Legal business name

MYTON MEDICAL GROUP, INC.

Practice address

3619 Park East Dr
205 S
Beachwood, OH 44122-4330

Phone

(216) 591-0942

Fax

(440) 834-1902

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kaye Myton-Craig, MDNPI 1750389441

Title

Owner

Phone

(216) 591-0942

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaye A. Myton-Craig, M.D.

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1750389441
  Medicare reassignment Authorized official
• Thomas L Craig III, M.D.

  • Legal Medicine
  • Cleveland Heights, OH
  • NPI 1922006584
  NPD (past)
• Fatuma Midamba, M.D.

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1982674602
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1336229590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 PARK EAST DR",
            "address_2": "205 S",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224330",
            "telephone_number": "216-591-0942",
            "fax_number": "440-834-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PARK EAST DR",
            "address_2": "205 S",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224330",
            "telephone_number": "216-591-0942",
            "fax_number": "440-834-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYTON MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "MYTON-CRAIG",
        "authorized_official_first_name": "KAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-591-0942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35067681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2144110",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mutual Health Maintenance, LLC (Homewatch Caregivers)
• Yvonne Renee Myers, APRN, AGNP-C
• Myeyedr Optometry of Ohio, LLC (MyEyeDr.)
• Lwin Myint
• Kathryn M Mysko, DPT
• Kaye A. Myton-Craig, M.D.
• Olga Mytrofanova
• Monica Naatey Ahumah
• Adam Jyun Nagakura, MD
• Traci Nagy

• Internal Medicine Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.