Michael Yerukhim, MD LLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

MICHAEL YERUKHIM, MD LLC

Practice address

7215 Old Oak Blvd Ste A414
Middleburg Heights, OH 44130-3377

Phone

(440) 816-2776

Fax

(440) 816-2709

NPI assigned

Mar 22, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Lavonne M Urban, LPC, MS ED, NCCNPI 1710478375

Title

Practice Manager

Phone

(216) 798-3299

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael Yerukhim, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Yerukhim, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Middleburg Heights, OH
  • NPI 1457514762
  Medicare reassignment Care Compare group NPD
• Tiffany Madison Angelica Gomez, PA-C

  • Physician Assistant
  • Lorain, OH
  • NPI 1871185421
  Medicare reassignment Care Compare group
• Lavonne M Urban, LPC

  • Community Health Worker
  • Cleveland, OH
  • NPI 1710478375
  NPD Authorized official

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1578023784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD STE A414",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303377",
            "telephone_number": "440-816-2776",
            "fax_number": "440-816-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD STE A414",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303377",
            "telephone_number": "440-816-2776",
            "fax_number": "440-816-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL YERUKHIM, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "LAVONNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "216-798-3299",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, MS ED, NCC"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110500",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Yerukhim, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Cornelius McManus Jr.
• Michelle Ann Medlik
• Kalie Elizabeth Meeker, DPT
• Chelsea Kalynn Meng, PSY.D.
• Metrohealth System
• Middleburg Early Education Center
• Middleburg Heights Alf Operations
• Middleburg Heights Dentistry
• Middleburg Heights Magic Dentistry LLC - Michael Crites DDS
• Middleburg Heights Podiatry LTD

• Otolaryngology/Facial Plastic Surgery Physician in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.