Active NPI
Cleveland Nutrition, LLC
- Internal Medicine Physician
- Beachwood, OH
National Provider Identifier
1508485202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Internal Medicine Physician
- Beachwood, OH
- NPI 1619035532
Member Of
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
- Cleveland East Vascular Care, LLC
- Cleveland Eye Care & Surgery, Inc.
- Cleveland Family Therapy LLC
- Cleveland Hearing & Balance Center Inc
- Cleveland Kidney Disease Associates
- Cleveland Pain Management and Acupuncture LLC
- Cleveland Shoulder Institute, LLC
- Cleveland Skin Pathology Laboratory, Inc
- Cleveland Skin Pathology Laboratory, Inc
- Clinic Regional Physicians LLC
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.