Active NPI
Pivo Physiq, Inc.,
- Internal Medicine Physician
- Cleveland, OH
National Provider Identifier
1740449990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-064135
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0898695 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.