Organization Active NPI

William J. Washington M.D.,Inc

  • Primary Care Clinic/Center
  • Cleveland Heights, OH
National Provider Identifier
1912017500
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
697760 Issued in OH
Legal business name
WILLIAM J. WASHINGTON M.D.,INC
Practice address
5 Severance Circle
Suite 107
Cleveland Heights, OH 44118
Phone
(216) 382-4974
Fax
(216) 382-4981
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Dr. William Jerome Washington, M.D.NPI 1225148034
Title
President
Phone
(216) 382-4974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 697760 OH Primary

Addresses

Primary practice location

5 Severance Circle
Suite 107
Cleveland Heights, OH 44118

Mailing address

5 Severance Circle
Suite 107
Cleveland Heights, OH 44118-1566
Phone (216) 382-4974

National Provider Directory

National Provider Directory

Locations

5 Severance Cir
Ste 107
Cleveland Heights, OH 44118
Phone (216) 382-4974

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1912017500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIRCLE",
            "address_2": "SUITE 107",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181566",
            "telephone_number": "216-382-4974",
            "fax_number": "216-382-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIRCLE",
            "address_2": "SUITE 107",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "44118",
            "telephone_number": "216-382-4974",
            "fax_number": "216-382-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. WASHINGTON M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-382-4974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "697760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.