Chagrin Medical Center

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

35.029203 Issued in OH

Legal business name

CHAGRIN MEDICAL CENTER

Practice address

21625 Chagrin Blvd
Suite 250
Beachwood, OH 44122-5363

Phone

(216) 991-5100

Fax

(216) 991-5190

NPI assigned

Feb 28, 2012

Last updated

Feb 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Judy Lasorella

Title

Office Manager

Phone

(216) 991-5100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1972877660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21625 CHAGRIN BLVD",
            "address_2": "SUITE 250",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225363",
            "telephone_number": "216-991-5100",
            "fax_number": "216-991-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21625 CHAGRIN BLVD",
            "address_2": "SUITE 250",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225363",
            "telephone_number": "216-991-5100",
            "fax_number": "216-991-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAGRIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "LASORELLA",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "216-991-5100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "OH",
            "license": "35.029203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centers for Comprehensive Pain Care Inc
• Jonathan Cerar, PT, DPT
• Sinu Chacko
• Chagrin Chiropractic Inc.
• Chagrin Highlands Dental Group, Douglas E. Desatnik, D.D.S., LLC
• Chagrin Surgery Center, LLC
• Chagrin Valley Anesthesia, LLC
• Chantia Michelle Chalklett
• Rebecca Jean Chamberlain, D.O.
• Karlan Champagne

• Rehabilitation Practitioner in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Rehabilitation Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.