NPIMap

Organization Active NPI

Southeast Lifeforce Corporation

Doing business as Southeast Orthopedics & Sports Medicine

  • Chiropractor
  • Cleveland, OH
National Provider Identifier
1962795062
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTHEAST LIFEFORCE CORPORATION
Doing business as
Southeast Orthopedics & Sports Medicine
Practice address
23131 Emery Rd
Cleveland, OH 44128-5136
Phone
(216) 514-9590
Fax
(216) 514-9592
NPI assigned
May 23, 2011
Last updated
May 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Authorized official

Name
James G O'Reilly, DCNPI 1669582441
Title
Owner
Phone
(216) 514-9590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

23131 Emery Rd
Cleveland, OH 44128-5136

Mailing address

8549 Antlers TRL
N Ridgeville, OH 44039-6406
Phone (216) 514-9590

Other names 1

  • Southeast Orthopedics & Sports Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1962795062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8549 ANTLERS TRL",
            "city": "N RIDGEVILLE",
            "state": "OH",
            "postal_code": "440396406",
            "telephone_number": "216-514-9590",
            "fax_number": "216-514-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23131 EMERY RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285136",
            "telephone_number": "216-514-9590",
            "fax_number": "216-514-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST LIFEFORCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "O'REILLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-514-9590",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Orthopedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.