Active NPI
Euclid Pediatrics Inc
- Pediatrics Physician
- Mentor, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35041455
- Legal business name
- EUCLID PEDIATRICS INC
- Practice address
- 7200 Center St
Ste 200
Mentor, OH 44060-4900 - Phone
- (440) 255-0706
- Fax
- (440) 255-4451
- NPI assigned
- Oct 30, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel G Fuller, MD
- Title
- Partner
- Phone
- (216) 261-2606
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35041455 | OH | Primary |
Addresses
Primary practice location
7200 Center St
Ste 200
Mentor, OH 44060-4900
Mailing address
26250 Euclid Ave
Ste 611
Euclid, OH 44132-3305
Phone (216) 261-2606
National Provider Directory
National Provider Directory- Tax ID family
- Euclid Pediatrics Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Euclid, OH
- NPI 1720176548
Locations
7200 Center St
Ste 200
Mentor, OH 44060
Phone (440) 255-0706
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.
-
- Pediatrics Physician
- Euclid, OH
- NPI 1134126568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1598841835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26250 EUCLID AVE",
"address_2": "STE 611",
"city": "EUCLID",
"state": "OH",
"postal_code": "441323305",
"telephone_number": "216-261-2606",
"fax_number": "216-261-9814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 CENTER ST",
"address_2": "STE 200",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604900",
"telephone_number": "440-255-0706",
"fax_number": "440-255-4451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUCLID PEDIATRICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FULLER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "216-261-2606",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "OH",
"license": "35041455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.