North Coast Professional Company, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTH COAST PROFESSIONAL COMPANY, LLC

Practice address

1912 Hayes Ave Ste 1E
Sandusky, OH 44870-4736

Phone

(419) 557-5541

Fax

(419) 557-5542

NPI assigned

May 20, 2006

Last updated

Aug 24, 2022By 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

Robert Moore

Title

Executive Vice President

Phone

(419) 557-5541

Specialties & licenses 15

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: abdul.qadir@fpg.medicity.net
• Direct secure messaging: aditi.parikh@fpg.medicity.net
• Direct secure messaging: amanda.grob@fpg.medicity.net
• Direct secure messaging: amber.keller@fpg.medicity.net
• Direct secure messaging: amy.reese@fpg.medicity.net
• Direct secure messaging: andra.kurtz@fpg.medicity.net
• Direct secure messaging: anne.mauric@fpg.medicity.net
• Direct secure messaging: aziz.bakhous@fpg.medicity.net
• Direct secure messaging: benjamin.ball@fpg.medicity.net
• Direct secure messaging: brett.kuns@fpg.medicity.net
• Direct secure messaging: bryan.kuns@fpg.medicity.net
• Direct secure messaging: calley.lewis@fpg.medicity.net
• Direct secure messaging: cameron.ditty@fpg.medicity.net
• Direct secure messaging: catherine.ly@fpg.medicity.net
• Direct secure messaging: christian.siebenaler@fpg.medicity.net
• Direct secure messaging: christopher.avendano@fpg.medicity.net
• Direct secure messaging: colleen.calvey@fpg.medicity.net
• Direct secure messaging: dale.braun@fpg.medicity.net
• Direct secure messaging: dana.easterwood@fpg.medicity.net
• Direct secure messaging: david.girvin@fpg.medicity.net

Practitioners 200

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.

• Abdelrahman Abdelaziz, MD

  • Psychiatry Physician
  • Westlake, OH
  • NPI 1871960930
  Medicare reassignment Care Compare group NPD
• Lisa Jo Aichholz, CNP

  • Nurse Practitioner
  • Bellevue, OH
  • NPI 1285858241
  Medicare reassignment Care Compare group NPD
• Soufian Almahameed, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Cleveland, OH
  • NPI 1821187816

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Imad Asaad, M.D.

  • Gastroenterology Physician
  • Cleveland, OH
  • NPI 1669725057

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Christopher E Avendano, M.D.

  • Pulmonary Disease Physician
  • Sandusky, OH
  • NPI 1003868126

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD
• Kevin Bailey, DO

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Sandusky, OH
  • NPI 1730613688
  Medicare reassignment Care Compare group NPD
• Lauren Bailey, NP-C

  • Family Nurse Practitioner
  • Norwalk, OH
  • NPI 1124402276
  Medicare reassignment Care Compare group NPD
• Aziz Bakhous, M.D.

  • Nephrology Physician
  • Akron, OH
  • NPI 1164787677
  Medicare reassignment Care Compare group NPD
• Benjamin Edward Ball, D.O.

  • Internal Medicine Physician
  • Bellevue, OH
  • NPI 1083637730
  Medicare reassignment Care Compare group NPD
• Alesha Ann Beemer, RN, BSN, CNP

  • Family Nurse Practitioner
  • Cleveland, OH
  • NPI 1407495757
  Medicare reassignment Care Compare group NPD
• Steven Benedict, M.D.

  • Neurology Physician
  • Port Clinton, OH
  • NPI 1982676789
  Medicare reassignment Care Compare group NPD
• Eric Nicholas Bialaski, DO

  • Neurological Surgery Physician
  • Sandusky, OH
  • NPI 1144509274
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1881648210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE STE 1E",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736",
            "telephone_number": "419-557-5541",
            "fax_number": "419-557-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE STE 1E",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736",
            "telephone_number": "419-557-5541",
            "fax_number": "419-557-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST PROFESSIONAL COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "419-557-5541"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021707",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• North Ohio Vascular Surgery Associates, LLC
• Northcoast Professional Company LLC
• Northcoast Radiotherapy Inc.

• Internal Medicine Physician in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.