Active NPI
Kourosh Saghafi DO Inc
- Geriatric Medicine (Internal Medicine) Physician
- Parma, OH
National Provider Identifier
1750596102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 34006341
- Legal business name
- KOUROSH SAGHAFI DO INC
- Practice address
- 6681 Ridge Road
Suite 300
Parma, OH 44129-5713 - Phone
- (440) 842-1295
- Fax
- (216) 351-3619
- NPI assigned
- May 11, 2007
- 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
- Mr. James Saghafi
- Title
- Office Manager
- Phone
- (216) 702-0360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 34006341 | OH | Primary |
Addresses
Primary practice location
6681 Ridge Road
Suite 300
Parma, OH 44129-5713
Mailing address
6681 Ridge Road
Suite 300
Parma, OH 44129-5713
Phone (216) 702-0360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2785893 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1201 Akins Rd
Broadview Hts, OH 44147
Phone (440) 457-2900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Parma, OH
- NPI 1659358950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209513600000",
"number": "1750596102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6681 RIDGE ROAD",
"address_2": "SUITE 300",
"city": "PARMA",
"state": "OH",
"postal_code": "441295713",
"telephone_number": "216-702-0360",
"fax_number": "216-351-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6681 RIDGE ROAD",
"address_2": "SUITE 300",
"city": "PARMA",
"state": "OH",
"postal_code": "441295713",
"telephone_number": "440-842-1295",
"fax_number": "216-351-3619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOUROSH SAGHAFI DO INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2008-04-30",
"status": "A",
"authorized_official_last_name": "SAGHAFI",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "216-702-0360",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OH",
"license": "34006341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2785893",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.