Euclid Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35041455 Issued in OH

Legal business name

EUCLID PEDIATRICS INC

Practice address

26250 Euclid Ave
Ste 611
Euclid, OH 44132-3305

Phone

(216) 261-2606

Fax

(216) 261-9814

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Daniel G Fuller, MD

Title

Partner

Phone

(216) 261-2606

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Euclid Pediatrics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Euclid Pediatrics Inc

  • Pediatrics Physician
  • Mentor, OH
  • NPI 1598841835
  NPD tax ID

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720176548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26250 EUCLID AVE",
            "address_2": "STE 611",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323305",
            "telephone_number": "216-261-2606",
            "fax_number": "216-261-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26250 EUCLID AVE",
            "address_2": "STE 611",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323305",
            "telephone_number": "216-261-2606",
            "fax_number": "216-261-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUCLID PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "216-261-2606",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35041455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0854991",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Euclid Family Pharmacy Inc.
• Euclid Hospital
• Euclid Hospital Cleveland Clinic Health System
• Euclid Lifeforce Corporation
• Euclid Medical Group
• Euclid Preparatory School
• Euclid Radiology Services LLC
• Euclid SNF Opco LLC
• Delawrence Evans
• Doris Evans

• Pediatrics Physician in Euclid, OH
• Providers in Euclid, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.