Active NPI
Maple Family Physicians Inc
- Family Medicine Physician
- Maple Heights, OH
National Provider Identifier
1376645176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MAPLE FAMILY PHYSICIANS INC
- Practice address
- 15003 Turney Rd
Maple Heights, OH 44137-4730 - Phone
- (216) 663-7753
- Fax
- (216) 663-0897
- NPI assigned
- Sep 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugene S Balkovec, DO
- Title
- President
- Phone
- (216) 663-7753
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
15003 Turney Rd
Maple Heights, OH 44137-4730
Mailing address
15003 Turney Rd
Maple Heights, OH 44137-4730
Phone (216) 663-7753
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000167289 | Other | OH | ANTHEM |
| CL9518 | Other | OH | RAILROAD MEDICARE |
| 0861796 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Maple Heights, OH
- NPI 1245324268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1376645176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15003 TURNEY RD",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441374730",
"telephone_number": "216-663-7753",
"fax_number": "216-663-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15003 TURNEY RD",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441374730",
"telephone_number": "216-663-7753",
"fax_number": "216-663-0897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAPLE FAMILY PHYSICIANS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-02",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "BALKOVEC",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-663-7753",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "00000167289",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CL9518",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0861796",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maple Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.