Active NPI
Vitalhealth Partners Inc
- Public Health & General Preventive Medicine Physician
- Lyndhurst, OH
National Provider Identifier
1962702902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 35.054022
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 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 DirectoryLocations
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.
-
- General Practice Physician
- Lyndhurst, OH
- NPI 1669627816
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.