Middle Ridge Inc.

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

MIDDLE RIDGE INC.

Practice address

7530 Lucerne Dr
Cleveland, OH 44130-6587

Phone

(440) 239-4300

Fax

(440) 239-4301

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Kevin Rotenberry

Title

Cfo

Phone

(440) 239-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346237831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 LUCERNE DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441306587",
            "telephone_number": "440-239-4300",
            "fax_number": "440-239-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 LUCERNE DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441306587",
            "telephone_number": "440-239-4300",
            "fax_number": "440-239-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE RIDGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTENBERRY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "440-239-4300"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0777459",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula E Mickan, CNP
• Keva Mickey
• Lauren Mickey
• Liliana Mickey, CNP
• Sarah Micklewright, PA-C
• Middleburg Heights Chiropractic Office, Inc.
• Middleburg Radiology Associates, Inc.
• Middleburg-Legacy Place, LLC (Parkside Villa)
• Derek Leroy Middleton Jr.
• Aisha Midgett

• Parenteral & Enteral Nutrition Supplies (DME) in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.