Marymount Care Services LLC
Organization Active NPI Internal Medicine Physician · Chagrin Falls, OH
NPI 1992958227 · NPPES record last updated Jul 24, 2009
Key facts
- NPI
- 1992958227
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- MARYMOUNT CARE SERVICES LLC
- Practice address
- 17747 Chillicothe Rd
Suite 100
Chagrin Falls, OH 44023-4739 - Phone
- (440) 543-8855
- NPI assigned
- Oct 30, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Pete Walchanowicz
- Title
- Practice Manager
- Phone
- (440) 543-8855
Member of 1
Member organizations 51
National Provider Directory
Locations
12300 McCracken Rd
Ste 460
Garfield Heights, OH 44125
Phone (440) 975-5575
5595 Transportation Blvd
Ste 230
Garfield Hts, OH 44125
Phone (216) 518-3444
12000 McCracken Rd
Ste 450
Garfield Hts, OH 44125
Phone (216) 475-5370
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Interventional Cardiology Physician |
207RI0011X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Occupational Medicine Physician |
2083X0100X | |||
| Neurology Physician |
2084N0400X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Medical Physician Assistant |
363AM0700X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
17747 Chillicothe Rd
Suite 100
Chagrin Falls, OH 44023-4739
Mailing address
17747 Chillicothe Rd
Suite 100
Chagrin Falls, OH 44023-4739
Phone (440) 543-8855
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2907439 | Medicaid | OH |
Other providers in Chagrin Falls, OH
- Heather Marie Manchen
- Manifest Holistic Centre, LLC
- Mark C. Brown, PHD,LLC
- Tara Odams Marnin
- Jane Marie Maroun
- Marymount Primary Care Services Inc
- Marymount Primary Care Services, Inc
- Massey Physical Therapy LLC
- Andrea Matanovic
- Kathleen S Maxwell
All providers in Chagrin Falls, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.