Cleveland Medical Associates, PA Dba Piedmont Family Care

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

94-01034 Issued in NC

Legal business name

CLEVELAND MEDICAL ASSOCIATES, PA DBA PIEDMONT FAMILY CARE

Practice address

114 Lee St
Shelby, NC 28150-3839

Phone

(704) 480-0685

Fax

(704) 480-7356

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Surendra Pal Sidhu, MD

Title

Owner

Phone

(704) 480-0685

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841389343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 LEE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503839",
            "telephone_number": "704-480-0685",
            "fax_number": "704-480-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 LEE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503839",
            "telephone_number": "704-480-0685",
            "fax_number": "704-480-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND MEDICAL ASSOCIATES, PA DBA PIEDMONT FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "SURENDRA",
        "authorized_official_middle_name": "PAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-480-0685",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": "94-01034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890172T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cleveland Health Ventures LLC (Neurology Center of Shelby)
• Cleveland Health Ventures, LLC (Shelby Children's Clinic)
• Cleveland Health Ventures, LLC (Carolinas Hospitalist Group - Cleveland)
• Cleveland Home Health Agency
• Cleveland Intervention and Support Services, Inc
• Cleveland Neurologic Clinic, PA
• Cleveland of County (Cleveland Co. Health Dept Behavioral Health)
• Cleveland Physical Therapy Assoc II
• Cleveland Physical Therapy Associates Inc
• Cleveland Psychosocial Service, Inc.

• Adult Medicine Physician in Shelby, NC
• Providers in Shelby, NC by specialty
• Adult Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.