Gregory P Kezele MD LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

GREGORY P KEZELE MD LLC

Practice address

Wound Care Center
36000 Euclid Ave
Willoughby, OH 44094

Phone

(440) 918-6341

Fax

(440) 918-6342

NPI assigned

May 5, 2022

Last updated

May 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Paul Kezele, MDNPI 1972563997

Title

Owner

Phone

(440) 413-0499

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Gregory Paul Kezele, MD

  • Phlebology Physician
  • Beachwood, OH
  • NPI 1972563997
  NPD Authorized official

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1417692229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CLINTON LN",
            "city": "HIGHLAND HTS",
            "state": "OH",
            "postal_code": "441431962",
            "telephone_number": "440-413-0499",
            "fax_number": "440-446-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WOUND CARE CENTER",
            "address_2": "36000 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-918-6341",
            "fax_number": "440-918-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY P KEZELE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "KEZELE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-413-0499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Sports & Spine LLC
• Adrienne Elizabeth Green, LISW
• Katie Lauren Greenaway, RN
• Jordan Jamere Greene
• David Greenhoff, LPN
• Gregory P Kezele MD LLC
• Carolyn Griggs
• Ann Grosz
• Andrew Gruenzel, MD
• Guardian Community Care LLC (Guardian Community Care)

• Medical Specialty Clinic/Center in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.