Meddoc Telehealth Services LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MEDDOC TELEHEALTH SERVICES LLC

Practice address

4688 Walford Rd Apt 15
Cleveland, OH 44128-5116

Phone

(855) 207-6937

NPI assigned

Dec 27, 2021

Organization subpart

No

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

Authorized official

Name

Tamarra Campbell

Title

Owner

Phone

(855) 207-6937

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1629738075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4688 WALFORD RD APT 15",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4688 WALFORD RD APT 15",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285116",
            "telephone_number": "855-207-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDDOC TELEHEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TAMARRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-207-6937"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Home Staffing LLC
• Daniel A. Medalie, MD
• Benjamin Medalion, MD
• Julie C Medas, CNS
• Lashay Antonette Medcalf, LPN
• Medic Drug Inc
• Medical Care Center LLC
• Medical Eye Assoc Inc
• Medical Mutual of Ohio
• Medical Transportation Associates LLC

• Primary Care Clinic/Center in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.