Southwest Neurology Inc

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

35068631 Issued in OH

Legal business name

SOUTHWEST NEUROLOGY INC

Practice address

7215 Old Oak Blvd
A411
Cleveland, OH 44130-3340

Phone

(440) 826-9221

Fax

(440) 816-5399

NPI assigned

Oct 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kempsager C Ravishankar, MD

Title

Physician

Phone

(440) 826-9221

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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

• Kempsagar C Ravishankar, MD

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Cleveland, OH
  • NPI 1275622128

  Neuromusculoskeletal Medicine, Sports Medicine

  Medicare reassignment NPD
• Shaila Gowda, MD

  • Neurology Physician
  • Houston, TX
  • NPI 1619034907
  NPD (past)

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

{
    "created_epoch": "1192924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1467641977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD",
            "address_2": "A411",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303340",
            "telephone_number": "440-826-9221",
            "fax_number": "440-816-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD",
            "address_2": "A411",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303340",
            "telephone_number": "440-826-9221",
            "fax_number": "440-816-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST NEUROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-21",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "RAVISHANKAR",
        "authorized_official_first_name": "KEMPSAGER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "440-826-9221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "OH",
            "license": "35068631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEATHCARE INS",
            "identifier": "0500150",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0946169",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER INS",
            "identifier": "108691",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1579165",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00036566",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "203918",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS",
            "identifier": "7543555",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest General Medical Group Inc
• Southwest General Medical Group, Inc
• Southwest General Medical Group, Inc
• Southwest General Medical Group, Inc.
• Southwest General Medical Group, Inc.
• Southwest Pulmonary Associates Inc
• Southwest Urology, LLC
• Aidan Robert Southworth, CPHT
• Elizabeth A Southworth, MD
• Emily Morgan Southworth, SWT

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.