City of Beachwood Ohio

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF BEACHWOOD OHIO

Doing business as

City of Beachwood

Practice address

2655 Richmond Rd
Beachwood, OH 44122-1755

Phone

(216) 292-1903

Fax

(216) 292-1900

NPI assigned

May 18, 2006

Last updated

Jan 3, 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

Mr. Steven N. Holtzman

Title

Fire Chief

Phone

(216) 292-1987

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• CITY OF BEACHWOOD Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1952354920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21727",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441210727",
            "telephone_number": "440-605-9117",
            "fax_number": "440-442-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 RICHMOND RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221755",
            "telephone_number": "216-292-1903",
            "fax_number": "216-292-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BEACHWOOD OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "HOLTZMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "216-292-1987",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2596169",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00248121",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000361750",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY OF BEACHWOOD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CITY OF BEACHWOOD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Ciccone, RD
• Yael Cik, MS CCC-SLP
• Emily Cikra, LSW, CDCA
• Jennifer Blaise Cinelli, N.P.
• Alaina Ciolek
• Susan Clark Rath, PA-C
• Veronica Clark, CNP
• Samantha Clarke
• Jacintho Claudio
• Sara Clements

• Land Ambulance in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.