Active NPI
Northeast Ohio Medical Group
- Internal Medicine Physician
- Cleveland, OH
National Provider Identifier
1659445773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NORTHEAST OHIO MEDICAL GROUP
- Practice address
- 13944 Euclid Ave
Suite 103
Cleveland, OH 44112-3832 - Phone
- (216) 761-9617
- NPI assigned
- Nov 20, 2006
- 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
- Dr. Charles Abunyewa, MD
- Title
- Partner
- Phone
- (216) 761-9617
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
13944 Euclid Ave
Suite 103
Cleveland, OH 44112-3832
Mailing address
13944 Euclid Ave
Suite 103
Cleveland, OH 44112-3832
Phone (216) 761-9617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
13944 Euclid Ave
Ste 103
Cleveland, OH 44112
Phone (216) 761-9617
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1942238605
-
- Internal Medicine Physician
- Euclid, OH
- NPI 1679554877
-
- Hematology & Oncology Physician
- Independence, OH
- NPI 1982799185
Internal Medicine
-
- Psychiatric/Mental Health Nurse Practitioner
- Cleveland, OH
- NPI 1407182926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659445773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13944 EUCLID AVE",
"address_2": "SUITE 103",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441123832",
"telephone_number": "216-761-9617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13944 EUCLID AVE",
"address_2": "SUITE 103",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441123832",
"telephone_number": "216-761-9617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST OHIO MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ABUNYEWA",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "216-761-9617",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
- Northcoast Rehab
- Northeast Ohio College Preparatory School
- Northeast Ohio College Preparatory School
- Northeast Ohio Group Practice
- Northeast Ohio Group Practice
- Northeast Ohio Neighborhood Health Services, Inc.
- Northeast Ohio Neighborhood Health Services, Inc.
- Northeast Ohio Neighborhood Health Services, Inc.
- Northeast Ohio Neighborhood Health Services, Inc.
- Northeast Ohio Neighborhood Health Services, Inc.
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.