Organization Active NPI

Eastshore Medical Services LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Euclid, OH
National Provider Identifier
1417400730
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
EASTSHORE MEDICAL SERVICES LLC
Practice address
26300 Euclid Ave
Suite 333
Euclid, OH 44132-3708
Phone
(216) 302-1500
NPI assigned
Aug 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Omar Garcia, M.D.
Title
Owner
Phone
(216) 302-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

26300 Euclid Ave
Suite 333
Euclid, OH 44132-3708

Mailing address

26300 Euclid Ave
Suite 333
Euclid, OH 44132-3708
Phone (216) 302-1500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1417400730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26300 EUCLID AVE",
            "address_2": "SUITE 333",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323708",
            "telephone_number": "216-302-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 EUCLID AVE",
            "address_2": "SUITE 333",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323708",
            "telephone_number": "216-302-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSHORE MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-302-1500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.