Organization Active NPI

Isabelita Guadiz MD Inc

  • Pediatrics Physician
  • North Olmsted, OH
National Provider Identifier
1700975471
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ISABELITA GUADIZ MD INC
Practice address
24700 Lorain Rd
Suite 104
North Olmsted, OH 44070-2088
Phone
(440) 716-9810
Fax
(440) 716-9813
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Dr. Isabelita E Guadiz, MDNPI 1366411696
Title
President / Owner
Phone
(440) 716-9810

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

24700 Lorain Rd
Suite 104
North Olmsted, OH 44070-2088

Mailing address

PO Box 451339
Westlake, OH 44145-0635
Phone (440) 808-3700

Other identifiers 1

IdentifierTypeStateIssuer
2900650MedicaidOH

National Provider Directory

National Provider Directory

Locations

24700 Lorain Rd
Ste 104
North Olmsted, OH 44070
Phone (440) 716-9810

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1700975471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451339",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441450635",
            "telephone_number": "440-808-3700",
            "fax_number": "440-808-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24700 LORAIN RD",
            "address_2": "SUITE 104",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702088",
            "telephone_number": "440-716-9810",
            "fax_number": "440-716-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABELITA GUADIZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "GUADIZ",
        "authorized_official_first_name": "ISABELITA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "440-716-9810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2900650",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.