Active NPI
Ridgepark Nurse Practitioners LLC
- Primary Care Nurse Practitioner
- Brooklyn, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- RIDGEPARK NURSE PRACTITIONERS LLC
- Practice address
- 7575 Northcliff Ave
Suite 400
Brooklyn, OH 44144-3267 - Phone
- (216) 749-8276
- NPI assigned
- Oct 19, 2012
- Organization subpart
- Yes
- Parent organization
- RIDGEPARK MEDICAL ASSOCIATES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Robert Koepke, M.D.
- Title
- President
- Phone
- (216) 749-8276
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
7575 Northcliff Ave
Suite 400
Brooklyn, OH 44144-3267
Mailing address
7575 Northcliff Ave
Suite 400
Brooklyn, OH 44144-3267
Phone (216) 749-8276
National Provider Directory
National Provider Directory- Part of
- Ridgepark Medical Associates Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Rockside Medical Associates
- Internal Medicine Physician
- Parma, OH
- NPI 1285609214
Member Of
Locations
7360 Engle Rd
Middleburg Heights, OH 44130
Phone (440) 891-5645
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Parma, OH
- NPI 1518951193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360886400000",
"number": "1528311198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7575 NORTHCLIFF AVE",
"address_2": "SUITE 400",
"city": "BROOKLYN",
"state": "OH",
"postal_code": "441443267",
"telephone_number": "216-749-8276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7575 NORTHCLIFF AVE",
"address_2": "SUITE 400",
"city": "BROOKLYN",
"state": "OH",
"postal_code": "441443267",
"telephone_number": "216-749-8276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGEPARK NURSE PRACTITIONERS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIDGEPARK MEDICAL ASSOCIATES, INC.",
"enumeration_date": "2012-10-19",
"last_updated": "2013-02-15",
"status": "A",
"authorized_official_last_name": "KOEPKE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-749-8276",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.