Southwest Family Physicians, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35052685 Issued in OH

Legal business name

SOUTHWEST FAMILY PHYSICIANS, INC.

Practice address

7225 Old Oak Blvd
Ste A210
Middleburg Heights, OH 44130-3339

Phone

(440) 816-2750

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Ghassan A Abdallah, M.D.NPI 1265531859

Title

President

Phone

(440) 816-2750

Specialties & licenses 9

Addresses

Other identifiers 1

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: drkimberlybiglow@southwestfamilyphysicians.medentdirect.com

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.

• Ghassan A Abdallah, M.D.

  • Family Medicine Physician
  • Middleburg Heights, OH
  • NPI 1265531859
  Authorized official Same address or phone
• Corrine Lynn Adler, D.O.

  • Family Medicine Physician
  • Parma, OH
  • NPI 1780634485
  NPD
• Ashley Casandra Fuentes, D.O.

  • Family Medicine Physician
  • Middleburg Heights, OH
  • NPI 1780043430
  NPD
• Michele Lyn Prezenkowski, CNP

  • Family Nurse Practitioner
  • Brookpark, OH
  • NPI 1285100115

  Family Medicine

  NPD
• Shantell Reid, APRN

  • Family Nurse Practitioner
  • Middleburg Heights, OH
  • NPI 1043086242
  NPD
• Chynna Dolores Smith, DO

  • Family Medicine Physician
  • Dublin, OH
  • NPI 1215677687
  NPD
• Vanessa Stoiber

  • Physician Assistant
  • Sandusky, OH
  • NPI 1730846429
  NPD
• Stephen John Tymcio, M.D.

  • Family Medicine Physician
  • Middleburg Heights, OH
  • NPI 1962501064
  NPD
• Rajani V Vallabhaneni, M.D.

  • Family Medicine Physician
  • Cleveland, OH
  • NPI 1245434638
  NPD
• Nchima Agnes Chibaye, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1316692171
  NPD

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1942203807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD",
            "address_2": "STE A210",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303339",
            "telephone_number": "440-816-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD",
            "address_2": "STE A210",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303339",
            "telephone_number": "440-816-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FAMILY PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "ABDALLAH",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-816-2750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35074996A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35077155D",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35078742W",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35069313A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35052685",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35038312",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35042476",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35037697T",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35089320",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245970",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrKimberlyBiglow@southwestfamilyphysicians.medentdirect.com",
            "affiliation": "N",
            "address_1": "7225 Old Oak Blvd",
            "address_2": "Ste A210",
            "city": "Middleburg Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441303339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Judith Soresso
• South West General Health Center
• Southern Hills Health and Rehabilitation Center LLC (Middleburg Heights Health & Rehabilitation Center)
• Southern Hills Nursing and Rehabilitation Center, Inc.
• Southwest Anesthesiology Group, Inc
• Southwest General Health Center
• Southwest General Health Center
• Southwest General Medical Group Inc. (Southwest Family Physicians, Inc.)
• Southwest Holdings Inc (Southwest Community Pharmacy)
• Southwest Medical Care Corporation

• Family Medicine Physician in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.