Active NPI
Annava LLC
- Pain Medicine Physician
- Willoughby, OH
National Provider Identifier
1992045256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- ANNAVA LLC
- Practice address
- 35104 Euclid Ave
Suite 300
Willoughby, OH 44094-4516 - Phone
- (440) 212-6205
- NPI assigned
- Feb 25, 2013
- 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
- Ms. Katheeen Merholz
- Title
- Owner
- Phone
- (440) 212-6205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
35104 Euclid Ave
Suite 300
Willoughby, OH 44094-4516
Mailing address
35104 Euclid Ave
Suite 300
Willoughby, OH 44094-4516
National Provider Directory
National Provider DirectoryLocations
35104 Euclid Ave
Ste 300
Willoughby, OH 44094
Phone (216) 591-0324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361750400000",
"number": "1992045256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35104 EUCLID AVE",
"address_2": "SUITE 300",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35104 EUCLID AVE",
"address_2": "SUITE 300",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944516",
"telephone_number": "440-212-6205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNAVA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-25",
"last_updated": "2013-02-25",
"status": "A",
"authorized_official_last_name": "MERHOLZ",
"authorized_official_first_name": "KATHEEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-212-6205",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.