Maple Medical Group, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

35038621 Issued in OH

Legal business name

MAPLE MEDICAL GROUP, INC

Practice address

16173 Libby Rd
Maple Heights, OH 44137-1245

Phone

(216) 662-3040

NPI assigned

Apr 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Madhusudan T Sheth, M.D., C.M.D.

Title

President

Phone

(216) 662-3040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1821216490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16173 LIBBY RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371245",
            "telephone_number": "216-662-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16173 LIBBY RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371245",
            "telephone_number": "216-662-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-21",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "MADHUSUDAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-662-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., C.M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "35038621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2752490",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Javon Manuel
• Maple Family Physicians Inc
• Maple Health Services, Inc.
• Maple Heights City SD
• Maple Heights Dental LLC
• Marbury & Associates LLC
• Ja'Nitta Marbury, PH.D., PCC-S
• Ciera Marcano
• Sabrina Maultsby
• Thema A Mawusi-El

• General Practice Physician in Maple Heights, OH
• Providers in Maple 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 Oct 17, 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.