Myspecialistmd Network Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MYSPECIALISTMD NETWORK CORPORATION

Practice address

30575 Bainbridge Rd Ste 105
Solon, OH 44139-2221

Phone

(216) 800-7137

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Jonathan Wiesen, MD

Title

President, Chief Medical Officer

Phone

(631) 759-9866

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1598314684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30575 BAINBRIDGE RD STE 105",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392221",
            "telephone_number": "216-762-0777",
            "fax_number": "216-232-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30575 BAINBRIDGE RD STE 105",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392221",
            "telephone_number": "216-800-7137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 California Ave",
            "address_2": "Tower B, 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "93309",
            "country_code": "US",
            "telephone_number": "216-762-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYSPECIALISTMD NETWORK CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "WIESEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT, CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "631-759-9866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Solon, OH
• Providers in Solon, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.