Cleveland Medical Institute, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

35071438D Issued in OH

Legal business name

CLEVELAND MEDICAL INSTITUTE, LLC

Practice address

6025 Commerce Cir # 2
Willoughby, OH 44094-9668

Phone

(440) 944-1414

Fax

(440) 944-1445

NPI assigned

May 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. David Anthony DemangoneNPI 1548225832

Title

President

Phone

(440) 944-1414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Anthony Demangone, M.D.

  • Pain Medicine Physician
  • Willoughby, OH
  • NPI 1548225832
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Campbell James, D.O

  • Psychiatry Physician
  • Willoughby, OH
  • NPI 1790996726
  Care Compare group

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1760829303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 COMMERCE CIR # 2",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949668",
            "telephone_number": "440-944-1414",
            "fax_number": "440-944-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 COMMERCE CIR # 2",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949668",
            "telephone_number": "440-944-1414",
            "fax_number": "440-944-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND MEDICAL INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "DEMANGONE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-944-1414",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35071438D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Nicole Clemente, CNP
• Cleveland Advanced Surgical LLC
• Cleveland Chiropractic, Inc.
• Cleveland Eye Care & Surgery, Inc.
• Cleveland Eye Specialists and Consultants, Inc.
• Cleveland Vamc
• Wendy J Clinger, MD
• Lakisha Marie Cloud
• Christopher Allan Cochran, D.C.
• Anthony Coe

• Interventional Pain Medicine Physician in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Interventional Pain Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.