Great Lakes Hypertension & Kidney Care Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35087500 Issued in OH

Legal business name

GREAT LAKES HYPERTENSION & KIDNEY CARE INC

Practice address

29640 Euclid Ave
Wickliffe, OH 44092-1829

Phone

(440) 463-9596

Fax

(440) 585-0249

NPI assigned

Jun 18, 2013

Last updated

Mar 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ionel Zamfir Donca, MD

Title

President

Phone

(440) 463-9596

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.

• Ryan A Ferra, CAA

  • Anesthesiologist Assistant
  • Willoughby, OH
  • NPI 1548797939
  NPD (past)

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1861831463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933335",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930037",
            "telephone_number": "440-463-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29640 EUCLID AVE",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440921829",
            "telephone_number": "440-463-9596",
            "fax_number": "440-585-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES HYPERTENSION & KIDNEY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "DONCA",
        "authorized_official_first_name": "IONEL",
        "authorized_official_middle_name": "ZAMFIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-463-9596",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35087500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Wickliffe, OH
• Providers in Wickliffe, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.