West Side Cardiology Assoc., Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

WEST SIDE CARDIOLOGY ASSOC., INC.

Practice address

20455 Lorain Rd
Second Floor
Fairview Park, OH 44126-3494

Phone

(440) 333-8600

Fax

(440) 333-5015

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Marcello M. Mellino, MDNPI 1003862335

Title

President

Phone

(440) 333-8600

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Cleveland Cardiovascular Research Foundation

  • Research Clinic/Center
  • Fairview Park, OH
  • NPI 1104178631
  NPPES parent name

Practitioners 2

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.

• Marcello M. Mellino, MD

  • Cardiovascular Disease Physician
  • Fairview Park, OH
  • NPI 1003862335
  Authorized official Same address or phone
• Rhonda S. Conn, CNP

  • Adult Health Nurse Practitioner
  • Fairview Park, OH
  • NPI 1942256003
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1386697621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20455 LORAIN RD",
            "address_2": "SECOND FLOOR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263494",
            "telephone_number": "440-333-8600",
            "fax_number": "440-333-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20455 LORAIN RD",
            "address_2": "SECOND FLOOR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263494",
            "telephone_number": "440-333-8600",
            "fax_number": "440-333-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE CARDIOLOGY ASSOC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "MELLINO",
        "authorized_official_first_name": "MARCELLO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-333-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0946776",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elena Vourvopoulos, OD
• Zion David Warner
• Taylor Weight, D.C.
• Samantha Weisman
• Megan Wellman, M.A., PSY.S.
• Malia R West, CNP
• Westgate Optometry LLC
• Westshore Advanced Medicine Inc
• Westshore Primary Care Assoc., Inc.
• Fred White

• Cardiovascular Disease Physician in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.