Westshore Advanced Medicine Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WESTSHORE ADVANCED MEDICINE INC

Practice address

20455 Lorain Rd
Suite T04
Fairview Park, OH 44126-3494

Phone

(440) 333-5767

Fax

(440) 333-5768

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Reza, MD

Title

President

Phone

(440) 333-5767

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1770544850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450923",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441450621",
            "telephone_number": "440-274-5035",
            "fax_number": "440-260-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20455 LORAIN RD",
            "address_2": "SUITE T04",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263494",
            "telephone_number": "440-333-5767",
            "fax_number": "440-333-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSHORE ADVANCED MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "REZA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-333-5767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076406",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Weisman
• Megan Wellman, M.A., PSY.S.
• West Side Cardiology Assoc., Inc.
• Malia R West, CNP
• Westgate Optometry LLC
• Westshore Primary Care Assoc., Inc.
• Fred White
• Allison Widman, OTR/L
• Joshua Paul Wilkes, CDCA
• William D Squires DDS Ms Inc

• Internal Medicine Physician in Fairview Park, OH
• Providers in Fairview Park, 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 29, 2011; 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.