Igor a Lantsberg MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35042712I Issued in OH

Legal business name

IGOR A LANTSBERG MD INC

Practice address

4200 Warrensville Center Rd
Ste 344
Beachwood, OH 44122-7051

Phone

(216) 561-8844

Fax

(216) 561-8894

NPI assigned

May 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Igor Lantsberg, MD

Title

Owner

Phone

(216) 561-8844

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1760701650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WARRENSVILLE CENTER RD",
            "address_2": "STE 344",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227051",
            "telephone_number": "216-561-8844",
            "fax_number": "216-561-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WARRENSVILLE CENTER RD",
            "address_2": "STE 344",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227051",
            "telephone_number": "216-561-8844",
            "fax_number": "216-561-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR A LANTSBERG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "LANTSBERG",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-561-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "OH",
            "license": "35042712I",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35042712I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.