Bow Tie Medical Ohio, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BOW TIE MEDICAL OHIO, LLC

Practice address

7500 Town Centre Dr Ste 200
Broadview Heights, OH 44147-4029

Phone

(877) 283-8863

Fax

(213) 784-5670

NPI assigned

Dec 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Firouz Daneshgari, MD

Title

Ceo/Cmo

Phone

(877) 283-8663

Specialties & licenses 1

Addresses

Locations

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.

• Matthew Minarik, PA-C

  • Physician Assistant
  • Broadview Heights, OH
  • NPI 1003245341
  NPD (past)

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1811328065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 TOWN CENTRE DR STE 300",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474040",
            "telephone_number": "877-283-8863",
            "fax_number": "213-784-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 TOWN CENTRE DR STE 200",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474029",
            "telephone_number": "877-283-8863",
            "fax_number": "213-784-5670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "387 Medina Rd",
            "address_2": "Suite 375",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442565302",
            "country_code": "US",
            "telephone_number": "888-735-9410",
            "fax_number": "888-735-9410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOW TIE MEDICAL OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "DANESHGARI",
        "authorized_official_first_name": "FIROUZ",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "877-283-8663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Biondillo III, D.C.
• Sarah Eileen Block, PT, DPT
• Nicolette Bonamase, PHARM D
• Greg Wayne Bonnette
• Sarah Bonnette, LISW-S
• David Andrew Boyce, RPH
• Christine Boyko, DO
• Pamela Bradley
• Breatherite, LLC
• Joseph Brennan, RPH

• General Practice Physician in Broadview Heights, OH
• Providers in Broadview Heights, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.