Active NPI
Walter Masny, MD
- Family Medicine Physician
- Middleburg Heights, OH
National Provider Identifier
1861412108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.048061
- Practice address
- 16600 W Sprague Rd
Suite 120
Middleburg Heights, OH 44130-6318 - Phone
- (440) 826-0500
- Fax
- (440) 826-0501
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 350408061 | OH | |
| Family Medicine Physician | 207Q00000X | 35.048061 | OH | Primary |
Addresses
Primary practice location
16600 W Sprague Rd
Suite 120
Middleburg Heights, OH 44130-6318
Mailing address
PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.048061 | OH | MD | Family Medicine Physician |
| 350408061 | OH | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc. | Past | Accepting new patients | |
| The Cleveland Clinic Foundation | Past | Accepting new patients | |
| Clinic Regional Physicians LLC | Family Medicine | Past | Accepting new patients |
| Southwest Medical Care Corporation | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Beachwood, OH
- NPI 1043470453
Family Medicine
-
- General Acute Care Hospital
- Middleburg Heights, OH
- NPI 1740367762
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Durable Medical Equipment & Medical Supplies
- Mentor, OH
- NPI 1053405217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1861412108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1239",
"city": "TROY",
"state": "MI",
"postal_code": "480991239",
"telephone_number": "248-824-6600",
"fax_number": "248-324-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16600 W SPRAGUE RD",
"address_2": "SUITE 120",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441306318",
"telephone_number": "440-826-0500",
"fax_number": "440-826-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASNY",
"first_name": "WALTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "350408061",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.048061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleburg Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.