Active NPI
Laszlo Gyurgyik, M.D.
- General Practice Physician
- Chardon, OH
National Provider Identifier
1982750154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 35-05-5510
- Practice address
- 13207 Ravenna Rd
Chardon, OH 44024-7032 - Phone
- (440) 285-6453
- NPI assigned
- Jan 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 35-05-5510 | OH | Primary |
Addresses
Primary practice location
13207 Ravenna Rd
Chardon, OH 44024-7032
Mailing address
11795 Fox GRV
Strongsville, OH 44149-2892
Phone (440) 227-8019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0676997 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982750154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11795 FOX GRV",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441492892",
"telephone_number": "440-227-8019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13207 RAVENNA RD",
"city": "CHARDON",
"state": "OH",
"postal_code": "440247032",
"telephone_number": "440-285-6453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GYURGYIK",
"first_name": "LASZLO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35-05-5510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0676997",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.