Organization Active NPI

Diabetes and Endocrine Center of Cleveland Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Beachwood, OH
National Provider Identifier
1396858601
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35-056791 Issued in OH
Legal business name
DIABETES AND ENDOCRINE CENTER OF CLEVELAND INC
Practice address
3733 Park East Dr
Suite 105
Beachwood, OH 44122-4337
Phone
(216) 504-0001
Fax
(216) 504-0005
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Jay S Morrow, MD
Title
Vice President
Phone
(216) 504-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 35-056791 OH Primary

Addresses

Primary practice location

3733 Park East Dr
Suite 105
Beachwood, OH 44122-4337

Mailing address

3733 Park East Dr
Suite 105
Beachwood, OH 44122-4337
Phone (216) 504-0001

Other identifiers 2

IdentifierTypeStateIssuer
0313342MedicaidOH
0919546MedicaidOH

National Provider Directory

National Provider Directory

Locations

12000 McCracken Rd
Ste 460
Garfield Hts, OH 44125
Phone (216) 475-5370

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1396858601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DR",
            "address_2": "SUITE 105",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224337",
            "telephone_number": "216-504-0001",
            "fax_number": "216-504-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DR",
            "address_2": "SUITE 105",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224337",
            "telephone_number": "216-504-0001",
            "fax_number": "216-504-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND ENDOCRINE CENTER OF CLEVELAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "216-504-0001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35-056791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0313342",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0919546",
            "state": "OH"
        }
    ],
    "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 4, 2013; 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.