Regenerative Medicine of Ohio LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

35.050134 Issued in OH

Legal business name

REGENERATIVE MEDICINE OF OHIO LLC

Practice address

9257 W Sprague Rd
North Royalton, OH 44133-1208

Phone

(440) 884-0083

Fax

(440) 884-6864

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Patrick J McCluskeyNPI 1861502668

Title

Statutory Agent

Phone

(440) 884-0083

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• REGENERATIVE MEDICINE OF OHIO LLC Doing business as

Locations

Practitioners 1

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

• Patrick McCluskey

  • Sports Physician Chiropractor
  • North Royalton, OH
  • NPI 1861502668
  NPD Authorized official

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1710464912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9257 W SPRAGUE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331208",
            "telephone_number": "440-884-0083",
            "fax_number": "440-884-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9257 W SPRAGUE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331208",
            "telephone_number": "440-884-0083",
            "fax_number": "440-884-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE MEDICINE OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "MCCLUSKEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "STATUTORY AGENT",
        "authorized_official_telephone_number": "440-884-0083"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35.050134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "35.050134",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REGENERATIVE MEDICINE OF OHIO LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Rae Prochko
• Rhonda Louise Pugh, LMT
• Deborah A. Ranallo
• Randall Residence at Royalton Woods
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• Rem Ohio Inc
• Rem Ohio Inc
• Rem Ohio Inc
• Renpro Ohio LLC
• Melissa Anne Rhodes

• Geriatric Medicine (Family Medicine) Physician in North Royalton, OH
• Providers in North Royalton, OH by specialty
• Geriatric Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.