Active NPI
Fairview Hospital
- Cardiovascular Disease Physician
- Rocky River, OH
National Provider Identifier
1962600395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- FAIRVIEW HOSPITAL
- Practice address
- 20220 Center Ridge Rd
Suite 120
Rocky River, OH 44116-3501 - Phone
- (440) 333-3332
- NPI assigned
- Jul 6, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Winters
- Title
- Finance
- Phone
- (216) 476-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
20220 Center Ridge Rd
Suite 120
Rocky River, OH 44116-3501
Mailing address
1730 W 25TH St
Suite 122
Cleveland, OH 44113-3108
Phone (216) 363-2475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031216000909 | OH | Part B Supplier - Clinic/Group Practice | 4688571730 |
Receives reassigned benefits from 204 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Westlake, OH; Rocky River, OH; Fairview Park, OH; Cleveland, OH |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
6801 Brecksville Rd
#1178
Independence, OH 44131
Phone (216) 636-7727
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Medical Physician Assistant
- Cleveland, OH
- NPI 1003093402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962600395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 W 25TH ST",
"address_2": "SUITE 122",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441133108",
"telephone_number": "216-363-2475",
"fax_number": "216-696-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20220 CENTER RIDGE RD",
"address_2": "SUITE 120",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441163501",
"telephone_number": "440-333-3332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRVIEW HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WINTERS",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "FINANCE",
"authorized_official_telephone_number": "216-476-7000"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky River, OH
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.