Organization Active NPI

Elyria Medical Center LLC

  • Primary Care Clinic/Center
  • Elyria, OH
National Provider Identifier
1467517136
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
65855 Issued in OH
Legal business name
ELYRIA MEDICAL CENTER LLC
Practice address
160 Cleveland St
Elyria, OH 44035-6155
Phone
(440) 322-6032
Fax
(440) 323-0868
NPI assigned
Dec 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Dr. Chuka Onyeneke, M.D.
Title
Medical Director
Phone
(440) 322-6032

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 65855 OH Primary
Urgent Care Clinic/Center 261QU0200X 65855 OH

Addresses

Primary practice location

160 Cleveland St
Elyria, OH 44035-6155

Mailing address

160 Cleveland St
Elyria, OH 44035-6155

National Provider Directory

National Provider Directory

Locations

1260 Abbe Rd N
Elyria, OH 44035
Phone (216) 365-6988

160 Cleveland St
Elyria, OH 44035
Phone (440) 317-0769

NPI Registry JSON

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1467517136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CLEVELAND ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CLEVELAND ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356155",
            "telephone_number": "440-322-6032",
            "fax_number": "440-323-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYRIA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-23",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "ONYENEKE",
        "authorized_official_first_name": "CHUKA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "440-322-6032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "65855",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OH",
            "license": "65855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.