Active NPI
Marc Andrew Lamacchia
- Anesthesiologist Assistant
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 67.000144
- Practice address
- 15345 Bagley Rd
Cleveland, OH 44130-4825 - Phone
- (440) 743-8400
- NPI assigned
- May 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 67.000144 | OH | Primary |
Addresses
Primary practice location
15345 Bagley Rd
Cleveland, OH 44130-4825
Mailing address
4450 Belden Village St NW Ste 307
Canton, OH 44718-2592
Phone (440) 226-2596
Other practice location 1
29000 Center Ridge Rd
Westlake, OH 44145-5219
Phone (440) 835-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3017354 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8636
Hospital & facility affiliations
- Marymount Hospital
- Cleveland Clinic Avon Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67.000144 | OH | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Tri-County Anesthesia, LLC | Past | Accepting new patients |
Locations
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
-
- Anesthesiology Physician
- Douglasville, GA
- NPI 1073687422
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, OH
- NPI 1346607017
-
- General Acute Care Hospital
- Garfield Heights, OH
- NPI 1942248737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1710144126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 BELDEN VILLAGE ST NW STE 307",
"city": "CANTON",
"state": "OH",
"postal_code": "447182592",
"telephone_number": "440-226-2596",
"fax_number": "440-579-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15345 BAGLEY RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441304825",
"telephone_number": "440-743-8400"
}
],
"practiceLocations": [
{
"address_1": "29000 Center Ridge Rd",
"address_purpose": "LOCATION",
"city": "Westlake",
"state": "OH",
"postal_code": "441455219",
"country_code": "US",
"telephone_number": "440-835-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAMACCHIA",
"first_name": "MARC",
"middle_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "OH",
"license": "67.000144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3017354",
"state": "OH"
}
],
"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 Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.