Organization Active NPI

Vitalhealth Partners Inc

  • Public Health & General Preventive Medicine Physician
  • Lyndhurst, OH
National Provider Identifier
1962702902
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
35.054022 Issued in OH
Legal business name
VITALHEALTH PARTNERS INC
Practice address
5555 Mayfield Rd
Lyndhurst, OH 44124-2939
Phone
(440) 995-0555
Fax
(440) 995-1444
NPI assigned
Oct 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Ronald B. Casselberry, M.D.
Title
Ceo
Phone
(440) 995-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X 35.054022 OH Primary

Addresses

Primary practice location

5555 Mayfield Rd
Lyndhurst, OH 44124-2939

Mailing address

5555 Mayfield Rd
Lyndhurst, OH 44124-2939
Phone (440) 995-0555

National Provider Directory

National Provider Directory

Locations

24700 Center Ridge Rd
Ste 220
Westlake, OH 44145
Phone (440) 331-8227

Practitioners & affiliated clinicians

Practitioners 1

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": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1962702902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 MAYFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242939",
            "telephone_number": "440-995-0555",
            "fax_number": "440-995-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 MAYFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242939",
            "telephone_number": "440-995-0555",
            "fax_number": "440-995-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALHEALTH PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "CASSELBERRY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-995-0555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OH",
            "license": "35.054022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.