Cleveland Community Physicians Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLEVELAND COMMUNITY PHYSICIANS INC

Practice address

398 W Bagley Rd
Suite 1
Berea, OH 44017-1369

Phone

(440) 816-1120

Fax

(440) 816-1022

NPI assigned

Apr 30, 2010

Last updated

Feb 15, 2013By 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

Mark McLoney, M.D.

Title

President

Phone

(440) 816-1120

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1578880431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771103",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441070047",
            "telephone_number": "216-472-2730",
            "fax_number": "216-472-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 W BAGLEY RD",
            "address_2": "SUITE 1",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171369",
            "telephone_number": "440-816-1120",
            "fax_number": "440-816-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND COMMUNITY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "MCLONEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-816-1120",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3088699",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher D. Ciryak, D.C.
• City of Berea
• Candace Clark, PCC
• Kimberly Tenita Clark, CNP
• Jillian Cleary
• Dierre Cody
• Jane Coleman, PH.D
• Kristine Coleman, RN
• Ryan Collins
• Allison Kathleen Colon, PHARM.D., RPH

• Family Medicine Physician in Berea, OH
• Providers in Berea, OH by specialty
• Family Medicine Physician in Ohio

• 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.

Verify at the official NPI Registry.