Gregory P Kezele MD LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

GREGORY P KEZELE MD LLC

Practice address

36000 Euclid Ave
Willoughby, OH 44094-4625

Phone

(440) 918-6341

Fax

(440) 918-6342

NPI assigned

Jun 15, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Gregory P Kezele, MDNPI 1972563997

Title

Owner

Phone

(440) 413-0499

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

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

• Gregory Paul Kezele, MD

  • Phlebology Physician
  • Beachwood, OH
  • NPI 1972563997
  Medicare reassignment Care Compare group NPD Authorized official
• Erin Angelo, CNP

  • Family Nurse Practitioner
  • Beachwood, OH
  • NPI 1558112862
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1821728478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CLINTON LN",
            "city": "HIGHLAND HTS",
            "state": "OH",
            "postal_code": "441431962",
            "telephone_number": "440-413-0499",
            "fax_number": "440-446-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944625",
            "telephone_number": "440-918-6341",
            "fax_number": "440-918-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY P KEZELE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "KEZELE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-413-0499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Elizabeth Green, LISW
• Katie Lauren Greenaway, RN
• Jordan Jamere Greene
• David Greenhoff, LPN
• Gregory P Kezele MD LLC
• Carolyn Griggs
• Ann Grosz
• Andrew Gruenzel, MD
• Guardian Community Care LLC
• Nikki Guinn

• Adult Medicine Physician in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Adult Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.