Individual provider Active NPI

Elizabeth Wingfield Mease, MD

  • Occupational Medicine Physician
  • Beachwood, OH
National Provider Identifier
1356426456
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
35051909 Issued in OH
Practice address
21825 Chagrin Blvd
Suite 330
Beachwood, OH 44122-5337
Phone
(216) 397-0917
Fax
(216) 397-7456
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35051909 OH
Occupational Medicine Physician 2083X0100X 35051909 OH Primary

Addresses

Primary practice location

21825 Chagrin Blvd
Suite 330
Beachwood, OH 44122-5337

Mailing address

5035 Mayfield Rd Ste 210
Lyndhurst, OH 44124-2603
Phone (216) 397-0917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35051909OHMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: emease36007@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1356426456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 MAYFIELD RD STE 210",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242603",
            "telephone_number": "216-397-0917",
            "fax_number": "216-397-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21825 CHAGRIN BLVD",
            "address_2": "SUITE 330",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225337",
            "telephone_number": "216-397-0917",
            "fax_number": "216-397-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEASE",
        "first_name": "ELIZABETH",
        "middle_name": "WINGFIELD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35051909",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "35051909",
            "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 Oct 1, 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.