Organization Active NPI

University-Geauga Family Physicians, Inc.

Doing business as Chesterland Family Practice

  • Family Medicine Physician
  • Chesterland, OH
National Provider Identifier
1780785683
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35042570 Issued in OH
Legal business name
UNIVERSITY-GEAUGA FAMILY PHYSICIANS, INC.
Doing business as
Chesterland Family Practice
Practice address
12714 Opalocka Dr
Chesterland, OH 44026-2642
Phone
(440) 729-3745
Fax
(440) 729-2647
NPI assigned
Sep 26, 2006
Last updated
Nov 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Dr. Thomas Muther Mettee, M.D.
Title
Owner/Ceo
Phone
(440) 729-3745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35042570 OH Primary

Addresses

Primary practice location

12714 Opalocka Dr
Chesterland, OH 44026-2642

Mailing address

12714 Opalocka Dr
Chesterland, OH 44026-2642
Phone (440) 729-3745

Other identifiers 2

IdentifierTypeStateIssuer
2866340MedicaidOH
CG0103OtherOHRAILROAD MEDICARE

Other names 1

  • Chesterland Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

12714 Opalocka Dr
Chesterland, OH 44026
Phone (440) 667-8132

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1780785683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12714 OPALOCKA DR",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262642",
            "telephone_number": "440-729-3745",
            "fax_number": "440-729-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12714 OPALOCKA DR",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262642",
            "telephone_number": "440-729-3745",
            "fax_number": "440-729-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY-GEAUGA FAMILY PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "METTEE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MUTHER",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "440-729-3745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35042570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2866340",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG0103",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesterland Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.