Healthspan Physicians, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HEALTHSPAN PHYSICIANS, LLC

Doing business as

HealthSpan Physicians - Medina

Practice address

3443 Medina Rd
Suite 108
Medina, OH 44256-5360

Phone

(330) 764-3077

Fax

(330) 764-3074

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Michael Mileca

Title

Revenue Cycle Manager

Phone

(216) 265-8811

Specialties & licenses 1

Addresses

Other names 1

• HealthSpan Physicians - Medina Doing business as

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1881006260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 SNOW RD",
            "address_2": "REVENUE CYCLE DEPARTMENT",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301002",
            "telephone_number": "866-265-8844",
            "fax_number": "216-265-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 MEDINA RD",
            "address_2": "SUITE 108",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565360",
            "telephone_number": "330-764-3077",
            "fax_number": "330-764-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSPAN PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "MILECA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "216-265-8811"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSpan Physicians - Medina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Hayden
• Latoya Haynesworth
• Deborah Marion Hays, LSW
• Caroline Healey, CDCA QMHS BA
• Healthspan Integrated Care
• Hearing Health Centers
• Hearing Health USA (Clarity Hear Hearing Center)
• Heart Centered Health and Wellness LLC
• Heart to Heart Home Health Care, Inc.
• John Nicholas Heary, DC

• Durable Medical Equipment & Medical Supplies in Medina, OH
• Providers in Medina, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

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

Verify at the official NPI Registry.