Innovacare LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2375254 Issued in OH

Legal business name

INNOVACARE LLC

Practice address

5 Severance Cir
Ste 207
Cleveland HTS, OH 44118-1566

Phone

(216) 382-8874

Fax

(216) 382-7166

NPI assigned

Jun 1, 2015

Organization subpart

No

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

Authorized official

Name

Thomas C Cully

Title

President

Phone

(440) 274-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph P Spirnak, M.D.

  • Body Imaging Physician
  • Sheffield Village, OH
  • NPI 1427197474
  NPD

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1952781452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30701 LORAIN RD STE A",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440706325",
            "telephone_number": "440-274-5000",
            "fax_number": "440-716-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR",
            "address_2": "STE 207",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181566",
            "telephone_number": "216-382-8874",
            "fax_number": "216-382-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "CULLY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-274-5000"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "2375254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE",
            "identifier": "2375254",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Blythe Horvat, LISW
• Margaret D Horvath, LISW-S
• Sonequia Howard
• Pattie Marie Huckabee
• Janice Ann Hudson-Bey, R.N.
• Integrity Health Homecare Agency
• Demecka Jackson
• Jennifer Janiece Jacobs, LPN06
• Jade Soremekun
• James Lane, M.D. Inc

• Diagnostic Radiology Physician in Cleveland HTS, OH
• Providers in Cleveland HTS, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.