Organization Active NPI

W Petersilge LLC

  • Orthopaedic Surgery Physician
  • Beachwood, OH
National Provider Identifier
1861941262
Registry record updated Nov 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
W PETERSILGE LLC
Practice address
1000 Auburn Dr
Suite 200 Risman Building
Beachwood, OH 44122-4317
Phone
(216) 202-6300
NPI assigned
Sep 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2016

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

Authorized official

Name
William Petersilge, MD
Title
Owner
Phone
(216) 202-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1000 Auburn Dr
Suite 200 Risman Building
Beachwood, OH 44122-4317

Mailing address

1000 Auburn Dr
Beachwood, OH 44122-4317
Phone (216) 202-6300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478304000000",
    "number": "1861941262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 AUBURN DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224317",
            "telephone_number": "216-202-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 AUBURN DR",
            "address_2": "SUITE 200 RISMAN BUILDING",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224317",
            "telephone_number": "216-202-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W PETERSILGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-11-05",
        "status": "A",
        "authorized_official_last_name": "PETERSILGE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-202-6300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2016; 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.