NPIMap

Organization Active NPI

Serwah Medical Group, Inc

  • Internal Medicine Physician
  • E Cleveland, OH
National Provider Identifier
1346366671
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35083950-A Issued in OH
Legal business name
SERWAH MEDICAL GROUP, INC
Practice address
1831 Forest Hills Blvd
#102
E Cleveland, OH 44112-4348
Phone
(216) 541-3600
Fax
(216) 541-5528
NPI assigned
Mar 21, 2007
Last updated
Jul 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Teah Abashidze, MDNPI 1336179647
Title
Employee
Phone
(216) 541-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35083950-A OH Primary

Addresses

Primary practice location

1831 Forest Hills Blvd
#102
E Cleveland, OH 44112-4348

Mailing address

4758 Ridge Rd
#161
Cleveland, OH 44144-3327
Phone (440) 235-8484

Other identifiers 2

IdentifierTypeStateIssuer
1336179647OtherOHNPI
2531460MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1346366671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 RIDGE RD",
            "address_2": "#161",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441443327",
            "telephone_number": "440-235-8484",
            "fax_number": "440-235-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 FOREST HILLS BLVD",
            "address_2": "#102",
            "city": "E CLEVELAND",
            "state": "OH",
            "postal_code": "441124348",
            "telephone_number": "216-541-3600",
            "fax_number": "216-541-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERWAH MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "ABASHIDZE",
        "authorized_official_first_name": "TEAH",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "216-541-3600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35083950-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336179647",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2531460",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in E Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.