Organization Active NPI

Cleveland Nutrition, LLC

  • Internal Medicine Physician
  • Beachwood, OH
National Provider Identifier
1508485202
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CLEVELAND NUTRITION, LLC
Practice address
25200 Chagrin Blvd Ste 110
Beachwood, OH 44122-5685
Phone
(216) 328-8086
NPI assigned
Apr 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
David Gutman, MD
Title
Owner
Phone
(216) 272-5751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

25200 Chagrin Blvd Ste 110
Beachwood, OH 44122-5685

Mailing address

2361 Beachwood Blvd
Beachwood, OH 44122-1474
Phone (216) 272-5751

Other practice location 1

2660 W Market St Ste 251
Fairlawn, OH 44333-4210
Phone (216) 328-8086

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

25200 Chagrin Blvd
Ste 110
Beachwood, OH 44122
Phone (216) 328-8086

2660 W Market St
Ste 251
Fairlawn, OH 44333
Phone (216) 328-8086

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1508485202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 BEACHWOOD BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221474",
            "telephone_number": "216-272-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 CHAGRIN BLVD STE 110",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225685",
            "telephone_number": "216-328-8086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2660 W Market St Ste 251",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443334210",
            "country_code": "US",
            "telephone_number": "216-328-8086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEVELAND NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "GUTMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-272-5751",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.