Organization Active NPI

Tessy Meridores MD Inc

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1740275684
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35065853 Issued in OH
Legal business name
TESSY MERIDORES MD INC
Practice address
18099 Lorain Ave
Ste 316
Cleveland, OH 44111-5610
Phone
(216) 252-2950
Fax
(216) 251-8760
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Tessy Meridores, MD
Title
President
Phone
(216) 252-2950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35065853 OH Primary

Addresses

Primary practice location

18099 Lorain Ave
Ste 316
Cleveland, OH 44111-5610

Mailing address

PO Box 451198
Westlake, OH 44145-0630
Phone (216) 252-2950

Other identifiers 2

IdentifierTypeStateIssuer
2857298MedicaidOH
0180745MedicaidOH

National Provider Directory

National Provider Directory

Locations

18099 Lorain Ave
Ste 533
Cleveland, OH 44111
Phone (216) 251-9000

13330 Detroit Ave
#N
Cleveland, OH 44107
Phone (216) 228-9550

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": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1740275684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451198",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441450630",
            "telephone_number": "216-252-2950",
            "fax_number": "216-251-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18099 LORAIN AVE",
            "address_2": "STE 316",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115610",
            "telephone_number": "216-252-2950",
            "fax_number": "216-251-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSY MERIDORES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "MERIDORES",
        "authorized_official_first_name": "TESSY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-252-2950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35065853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2857298",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180745",
            "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 Aug 28, 2014; 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.