Northeast Ohio Group Practice

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NORTHEAST OHIO GROUP PRACTICE

Practice address

2351 E 22ND St
Cleveland, OH 44115-3111

Phone

(216) 861-6200

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Chad Pew

Title

Vice-President

Phone

(307) 262-9410

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Northeast Ohio Group Practice3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northeast Ohio Group Practice

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1710055207
  NPD tax ID
• Northeast Ohio Group Practice

  • Surgery Physician
  • Westlake, OH
  • NPI 1801822366
  NPD tax ID

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1508892878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30680 BAINBRIDGE RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392282",
            "telephone_number": "440-542-5023",
            "fax_number": "440-542-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-861-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OHIO GROUP PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "PEW",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "307-262-9410"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2270019",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Ohio Heart Center, Inc
• North Park Optical
• Northcoast Rehab
• Northeast Ohio College Preparatory School
• Northeast Ohio College Preparatory School
• Northeast Ohio Group Practice
• Northeast Ohio Medical Group
• Northeast Ohio Neighborhood Health Services, Inc.
• Northeast Ohio Neighborhood Health Services, Inc.
• Northeast Ohio Neighborhood Health Services, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.