Elyria Mediclinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ELYRIA MEDICLINIC

Practice address

1260 Abbe Rd N
Elyria, OH 44035-1649

Phone

(440) 366-0455

Fax

(440) 281-8839

NPI assigned

Nov 16, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Sanrae J Onyeneke, LPN

Title

President

Phone

(216) 666-0224

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chuka Onyeneke, M.D.

  • Family Medicine Physician
  • Elyria, OH
  • NPI 1629104831
  NPD

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1639413453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 CLEVELAND STREET",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "44035",
            "telephone_number": "440-506-5674",
            "fax_number": "440-323-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 ABBE RD N",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351649",
            "telephone_number": "440-366-0455",
            "fax_number": "440-281-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYRIA MEDICLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "ONYENEKE",
        "authorized_official_first_name": "SANRAE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-666-0224",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyria Icf II,LLC
• Elyria Icf, LLC
• Elyria Internal Medicine, Inc
• Elyria Large Group Homes, Inc.
• Elyria Medical Center LLC
• Elyria Obstetrics & Gynecology Inc
• Elyria Township Trustee
• Emh Professional Services Inc.
• Emh Regional Medical Center
• Emh Regional Medical Center

• Family Medicine Physician in Elyria, OH
• Providers in Elyria, 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 Nov 11, 2024; 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.