NPIMap

Organization Active NPI

University Hospitals Case Medical Center/Cwru

  • Clinical Exercise Physiologist
  • Cleveland, OH
National Provider Identifier
1699044255
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
Legal business name
UNIVERSITY HOSPITALS CASE MEDICAL CENTER/CWRU
Practice address
11100 Euclid Ave
RBC # 637-Pediatric Cardiology
Cleveland, OH 44106-1716
Phone
(216) 844-1624
NPI assigned
Dec 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Mr. Justin Jeremy Fiutem, M.S., RCEP, CES
Title
Exercise Physiologist
Phone
(216) 844-1624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise PhysiologistGroup: 193400000X SINGLE SPECIALTY GROUP 224Y00000X OH Primary

Addresses

Primary practice location

11100 Euclid Ave
RBC # 637-Pediatric Cardiology
Cleveland, OH 44106-1716

Mailing address

11100 Euclid Ave
RBC # 637-Pediatric Cardiology
Cleveland, OH 44106-1716
Phone (216) 844-1624

National Provider Directory

National Provider Directory
Tax ID family
Center for Human Geneti8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11100 Euclid Ave
#637
Cleveland, OH 44106
Phone (216) 844-1624

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1699044255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "RBC # 637-PEDIATRIC CARDIOLOGY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "RBC # 637-PEDIATRIC CARDIOLOGY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITALS CASE MEDICAL CENTER/CWRU",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "FIUTEM",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "EXERCISE PHYSIOLOGIST",
        "authorized_official_telephone_number": "216-844-1624",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., RCEP, CES"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.