Organization Active NPI

Southwest General Health Center

  • Physician Assistant
  • Cleveland, OH
National Provider Identifier
1740608306
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
SOUTHWEST GENERAL HEALTH CENTER
Practice address
18697 Bagley Rd
Cleveland, OH 44130-3417
Phone
(440) 816-8000
NPI assigned
Apr 1, 2014
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST GENERAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
William Young Jr.
Title
President/Ceo
Phone
(440) 816-6701

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364S00000X

Addresses

Primary practice location

18697 Bagley Rd
Cleveland, OH 44130-3417

Mailing address

PO Box 632701
Cincinnati, OH 45263-2701
Phone (440) 879-0081

Other names 1

  • Southwest House Providers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330001464 OH Part B Supplier - Clinic/Group Practice 7012909245 Receives reassigned benefits from 37 practitioners
4 other NPIs on this enrollment
Practice locations: Cleveland, OH

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
SWG Home Inf Ther SVCS

Locations

15900 Snow Rd
Ste 600
Brookpark, OH 44142
Phone (216) 676-1200

3637 Center Rd
Brunswick, OH 44212
Phone (330) 558-0180

4065 Center Rd
Ste 114
Brunswick, OH 44212
Phone (330) 558-0150

4065 Center Rd
Ste 116
Brunswick, OH 44212
Phone (330) 558-0150

4065 Center Rd
Ste 118
Brunswick, OH 44212
Phone (440) 816-5607

18697 Bagley Rd
Ofc
Middleburg Heights, OH 44130

18780 Bagley Rd
Ste 110
Middleburg Heights, OH 44130
Phone (440) 816-2458

19250 Bagley Rd
Ste 202
Middleburg Heights, OH 44130
Phone (216) 688-8000

7225 Old Oak Blvd
Ste 210
Middleburg Heights, OH 44130
Phone (440) 816-2761

7390 Old Oak Blvd
Middleburg Heights, OH 44130
Phone (440) 816-4202

1440 Rockside Rd
Ste 215A
Parma, OH 44134
Phone (216) 398-4898

18100 Royalton Rd
Strongsville, OH 44136
Phone (440) 580-3279

18181 Pearl Rd
Ste A108
Strongsville, OH 44136
Phone (440) 816-4920

18181 Pearl Rd
Ste B100
Strongsville, OH 44136
Phone (440) 816-5049

18181 Pearl Rd
Ste B102
Strongsville, OH 44136
Phone (440) 816-4916

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1740608306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632701",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632701",
            "telephone_number": "440-879-0081",
            "fax_number": "440-879-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18697 BAGLEY RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303417",
            "telephone_number": "440-816-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST GENERAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST GENERAL HEALTH CENTER",
        "enumeration_date": "2014-04-01",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "440-816-6701",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest House Providers",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Southwest House Providers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.