Organization Active NPI

Pivo Physiq, Inc.,

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1740449990
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-064135 Issued in OH
Legal business name
PIVO PHYSIQ, INC.,
Practice address
11201 Shaker Blvd
Suite 328
Cleveland, OH 44104-3869
Phone
(216) 881-5055
Fax
(216) 881-5855
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Toye G.C. Williams, M.D.
Title
Physician
Phone
(216) 881-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 35-064135 OH Primary

Addresses

Primary practice location

11201 Shaker Blvd
Suite 328
Cleveland, OH 44104-3869

Mailing address

2000 Marlindale Rd
Cleveland, OH 44118-2513
Phone (216) 252-0054

Other identifiers 1

IdentifierTypeStateIssuer
0898695MedicaidOH

National Provider Directory

National Provider Directory

Locations

11201 Shaker Blvd
Ste 240
Cleveland, OH 44104
Phone (216) 359-3469

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1740449990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MARLINDALE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441182513",
            "telephone_number": "216-252-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 SHAKER BLVD",
            "address_2": "SUITE 328",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043869",
            "telephone_number": "216-881-5055",
            "fax_number": "216-881-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVO PHYSIQ, INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TOYE",
        "authorized_official_middle_name": "G.C.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "216-881-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-064135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0898695",
            "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 Jun 3, 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.