Active NPI
Grenville Machado M.D.,Inc
- Family Medicine Physician
- Copley, OH
National Provider Identifier
1376649483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GRENVILLE MACHADO M.D.,INC
- Practice address
- 2839 Copley Rd
Copley, OH 44321-2154 - Phone
- (330) 666-2022
- NPI assigned
- Sep 15, 2006
- Last updated
- Nov 29, 2007
- 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
- Grenville Machado
- Title
- President
- Phone
- (330) 666-2022
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
2839 Copley Rd
Copley, OH 44321-2154
Mailing address
2839 Copley Rd
Copley, OH 44321-2154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2718581 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
2839 Copley Rd
Copley, OH 44321
Phone (330) 666-2022
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Family Medicine Physician
- Copley, OH
- NPI 1861476608
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- Family Medicine Physician
- Copley, OH
- NPI 1922502533
-
- Family Medicine Physician
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- NPI 1962941641
-
- Family Nurse Practitioner
- Norton, OH
- NPI 1285155945
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1154614733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1376649483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2839 COPLEY RD",
"city": "COPLEY",
"state": "OH",
"postal_code": "443212154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2839 COPLEY RD",
"city": "COPLEY",
"state": "OH",
"postal_code": "443212154",
"telephone_number": "330-666-2022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRENVILLE MACHADO M.D.,INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "MACHADO",
"authorized_official_first_name": "GRENVILLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-666-2022"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2718581",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Copley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.