Erieside Medical Group
LBN: Erieside Medical Group
Erieside Medical Group is an health care organization with primary practice located at 38429 Lake Shore Blvd , Willoughby OH 44094-7009. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Erieside Medical Group can be contacted via phone (440) 946-9200, or through Ho, Winston via phone (440) 269-7483.
Contact Information
Primary practice address
38429 Lake Shore Blvd
Willoughby OH 44094-7009
Phone: (440) 946-9200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-052285D | Ohio |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-06-5285H | Ohio |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34-003413F | Ohio |
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 35-06-1390M |
Profile Details
NPI number | 1891751657 |
---|---|
LBN Legal business name | Erieside Medical Group |
DBA Doing business as | |
Authorized official | Ho, Winston Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 21st, 2006 |
Last updated | Jun 10th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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