Azimuth Medical LLC – Health Service Clinic/Center

Key facts

NPI: 1699362863
Entity type: Organization (NPI type 2)
Primary specialty: Health Service Clinic/Center 261QH0100X
Legal business name: AZIMUTH MEDICAL LLC
Practice address: 1701 Mentor Ave Ste 10
Painesville, OH 44077-1459
Phone: (440) 391-1308
NPI assigned: Dec 22, 2020
Organization subpart: No

Authorized official

Name: Peter Orr, DNP NPI 1356005896
Title: Owner/ President
Phone: (440) 391-1308

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

Peter Orr, DNP, RN Registered Nurse · Painesville, OH · NPI 1356005896

NPD Authorized official
Christopher David Orr, PA-C Physician Assistant · Painesville, OH · NPI 1902040306

Medicare reassignment OH
Richard Scott Krupkin, MD Physical Medicine & Rehabilitation Physician · Cleveland, OH · NPI 1548489040

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20241029001754	OH	Part B Supplier - Clinic/Group Practice	4082147020	Receives reassigned benefits from 1 practitioner Practice locations: Painesville, OH

National Provider Directory

Locations

1701 Mentor Ave
Ste 10
Painesville, OH 44077
Phone (440) 364-7590

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Health Service Clinic/Center	261QH0100X			Yes

Addresses

Primary practice location

1701 Mentor Ave Ste 10
Painesville, OH 44077-1459

Mailing address

1701 Mentor Ave Ste 10
Painesville, OH 44077-1459
Phone (440) 391-1308

Other providers in Painesville, OH

All providers in Painesville, OH · Health Service Clinic/Center in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.