Cleveland Advanced Surgical LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35098122 Issued in OH

Legal business name

CLEVELAND ADVANCED SURGICAL LLC

Practice address

36100 Euclid Ave
Suite 330B
Willoughby, OH 44094-4456

Phone

(440) 953-8055

Fax

(440) 953-0242

NPI assigned

Jun 8, 2012

Organization subpart

No

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

Authorized official

Name

Ifeoma J Igboeli, MD

Title

Owner

Phone

(440) 953-8055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ming Huei Phillip Chiang, M.D.

  • Family Medicine Physician
  • Willoughby, OH
  • NPI 1013907989
  NPD (past)

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1427310168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441220958",
            "telephone_number": "216-595-9600",
            "fax_number": "216-595-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE",
            "address_2": "SUITE 330B",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944456",
            "telephone_number": "440-953-8055",
            "fax_number": "440-953-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND ADVANCED SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "IGBOELI",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-953-8055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35098122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Willoughby
• City of Willoughby Hills
• Lauren Clark, ED.S. NCSP
• Theresa Clemens, P.A.-C
• Sherry Nicole Clemente, CNP
• Cleveland Chiropractic, Inc.
• Cleveland Eye Care & Surgery, Inc.
• Cleveland Eye Specialists and Consultants, Inc.
• Cleveland Medical Institute, LLC
• Cleveland Vamc

• Surgery Physician in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.