Cleveland Geriatrics Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

35048187G Issued in OH

Legal business name

CLEVELAND GERIATRICS INC

Practice address

3 Merit Dr
Richmond HTS, OH 44143-1457

Phone

(216) 261-1500

Fax

(216) 261-8970

NPI assigned

Oct 17, 2007

Last updated

Jan 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lawrence Keith Gray, MDNPI 1285707521

Title

Physician

Phone

(216) 261-1500

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Lawrence Keith Gray, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Richmond HTS, OH
  • NPI 1285707521
  NPD (past) Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1558550434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 BURLINGTON RD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181261",
            "telephone_number": "216-261-1500",
            "fax_number": "216-261-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MERIT DR",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441431457",
            "telephone_number": "216-261-1500",
            "fax_number": "216-261-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND GERIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "216-261-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35048187G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2877212",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Bradley
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• Appollonia Cleaves
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• Mary Cummings
• Cynthia J. Jemiola, O.D., Inc
• Renata Damaseviciute, OTR

• Geriatric Medicine (Internal Medicine) Physician in Richmond HTS, OH
• Providers in Richmond HTS, OH by specialty
• Geriatric Medicine (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.