Case Western Reserve University

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

35.087275 Issued in OH

Legal business name

CASE WESTERN RESERVE UNIVERSITY

Practice address

10701 East Blvd
K-216
Cleveland, OH 44106-1702

Phone

(216) 791-3800

Fax

(216) 707-5972

NPI assigned

May 29, 2007

Last updated

Aug 22, 2020By 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

Dr. Brian Bon-Jeong Koo, M.D.

Title

Fellow

Phone

(216) 791-3800

Specialties & licenses 1

Addresses

Other names 1

• Louis Stokes VA Hosptial Other name

Locations

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922209188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W 9TH ST",
            "address_2": "APT 807",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441131031",
            "telephone_number": "718-813-9422",
            "fax_number": "216-707-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 EAST BLVD",
            "address_2": "K-216",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061702",
            "telephone_number": "216-791-3800",
            "fax_number": "216-707-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASE WESTERN RESERVE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "BON-JEONG",
        "authorized_official_title_or_position": "FELLOW",
        "authorized_official_telephone_number": "216-791-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "35.087275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louis Stokes VA Hosptial",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Case Western Reserve University
• Case Western Reserve University
• Case Western Reserve University
• Case Western Reserve University (National Prion Disease Pathology Surveillance Center)
• Case Western Reserve University
• Case Western Univeristy Hospital
• Case Western University
• Matthew Joseph Case, MD
• Kevin Casebolt, MD
• Gianna Casella, RBT

• General Acute Care Hospital in Cleveland, OH
• Providers in Cleveland, OH by specialty
• General Acute Care Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.