NPIMap

Organization Active NPI

Physician House Call Services LLC

  • General Practice Physician
  • Highland Heights, OH
National Provider Identifier
1912207440
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PHYSICIAN HOUSE CALL SERVICES LLC
Practice address
402 Sandhurst Dr
Highland Heights, OH 44143-3604
Phone
(216) 201-0339
NPI assigned
Nov 1, 2010
Last updated
Dec 16, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSICIAN HOUSE CALL SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Vyacheslav Isakov, M.D.
Title
Medical Director
Phone
(216) 201-0339

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Geriatric Medicine (Family Medicine) Physician 207QG0300X
General Practice Physician 208D00000X Primary
Podiatrist 213E00000X

Addresses

Primary practice location

402 Sandhurst Dr
Highland Heights, OH 44143-3604

Mailing address

402 Sandhurst Dr
Highland Heights, OH 44143-3604
Phone (216) 201-0339

National Provider Directory

National Provider Directory
Part of
Physician House Call Services LLC

Locations

11607 Honeydale Ave
Cleveland, OH 44120
Phone (216) 707-1262

4608 E 131st St
Cleveland, OH 44105
Phone (216) 581-7635

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1912207440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SANDHURST DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433604",
            "telephone_number": "216-201-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SANDHURST DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433604",
            "telephone_number": "216-201-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN HOUSE CALL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIAN HOUSE CALL SERVICES LLC",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "ISAKOV",
        "authorized_official_first_name": "VYACHESLAV",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "216-201-0339",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.