Westlake Injury Center Medical Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WESTLAKE INJURY CENTER MEDICAL CARE

Practice address

29099 Health Campus Dr Ste 230
Westlake, OH 44145-5269

Phone

(440) 835-6263

Fax

(440) 892-6632

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Ty Dahodwala, DC

Title

Owner

Phone

(440) 835-6263

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1700326923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR STE 230",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455269",
            "telephone_number": "440-835-6263",
            "fax_number": "440-892-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR STE 230",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455269",
            "telephone_number": "440-835-6263",
            "fax_number": "440-892-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE INJURY CENTER MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "DAHODWALA",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-835-6263",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Westlake Medical Associates, Inc.
• Westlake Nursing and Rehabilitation Center LLC (The Orchards of Westlake Living & Rehab Center)
• Westlake Operations, LLC (Life Care Center of Westlake)
• Westlake Operations, LLC (Fairmont of Westlake)
• Westlake R&N Opco, LLC

• Family Medicine Physician in Westlake, OH
• Providers in Westlake, 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 Apr 18, 2017; 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.