Birchcrest Holdings, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

BIRCHCREST HOLDINGS, LLC

Practice address

30400 Detroit Rd
#30 - Lower Level
Westlake, OH 44145-1872

Phone

(216) 765-8390

Fax

(216) 765-8392

NPI assigned

Mar 17, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jack C Cornell

Title

President

Phone

(216) 765-8390

Specialties & licenses 1

Addresses

Other names 1

• PDI WESTLAKE Doing business as

Locations

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1629439765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 RICHMOND RD",
            "address_2": "SUITE 300",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285978",
            "telephone_number": "216-765-8390",
            "fax_number": "216-765-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 DETROIT RD",
            "address_2": "#30 - LOWER LEVEL",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451872",
            "telephone_number": "216-765-8390",
            "fax_number": "216-765-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHCREST HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-765-8390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDI WESTLAKE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gurpreet Bharmota, MD
• Michelle Lynn Bicego, RN
• Koren H Bierfeldt, M.ED.
• Bianca Biglin, DO
• Nicholas Paul Bigrigg, D.C.
• Tonya Lashawn Birney, LPC, LICDC, OCPS II
• Christopher Bishop
• BKD Personal Assistance Services LLC
• Tina M Black, DO
• Sandra Blackburn, NP-C

• Magnetic Resonance Imaging (MRI) Clinic/Center in Westlake, OH
• Providers in Westlake, OH by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.