Healthspan Physicians, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HEALTHSPAN PHYSICIANS, LLC

Doing business as

HealthSpan Physicians - Bedford

Practice address

19999 Rockside Rd
Bedford, OH 44146-2074

Phone

(440) 786-3830

Fax

(440) 786-6464

NPI assigned

May 12, 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 - Bedford Doing business as

Locations

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1902217003",
    "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": "19999 ROCKSIDE RD",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462074",
            "telephone_number": "440-786-3830",
            "fax_number": "440-786-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSPAN PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "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 - Bedford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Hawkins, MOT OTRL
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• Jacqui Hayes
• Healthpro Heritage Rehab & Fitness, LLC
• Healthspan Integrated Care
• Heart of Gold Residential Services
• Claire Heffron, MS OTRL
• Helping Others Manage Effectively
• India Henderson-Crayton
• Joseph L Henderson Sr.

• Durable Medical Equipment & Medical Supplies in Bedford, OH
• Providers in Bedford, 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.