NPIMap

Organization Active NPI

E N T GRP of Cleveland Inc

  • Specialist
  • Westlake, OH
National Provider Identifier
1942329552
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35059673W Issued in OH
Legal business name
E N T GRP OF CLEVELAND INC
Practice address
805 Columbia Rd
Suite #111
Westlake, OH 44145-1487
Phone
(440) 808-9469
Fax
(440) 808-9532
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Authorized official

Name
Mark J Wladecki, M.D.
Title
Practice Owner
Phone
(440) 808-9469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35059673W OH Primary

Addresses

Primary practice location

805 Columbia Rd
Suite #111
Westlake, OH 44145-1487

Mailing address

805 Columbia Rd
Suite #111
Westlake, OH 44145-1487
Phone (440) 808-9469

National Provider Directory

National Provider Directory

Locations

805 Columbia Rd
Ste 111
Westlake, OH 44145
Phone (440) 808-9469

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1942329552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 COLUMBIA RD",
            "address_2": "SUITE #111",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451487",
            "telephone_number": "440-808-9469",
            "fax_number": "440-808-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 COLUMBIA RD",
            "address_2": "SUITE #111",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451487",
            "telephone_number": "440-808-9469",
            "fax_number": "440-808-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E N T GRP OF CLEVELAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "WLADECKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "440-808-9469",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35059673W",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.