Healthcare Provider Details

I. General information

NPI: 1619462181
Provider Name (Legal Business Name): ALTERNATIVEMD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2018
Last Update Date: 06/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1374 E 36TH ST STE 2801D
CLEVELAND OH
44114
US

IV. Provider business mailing address

1374 E 36TH ST STE 2801D
CLEVELAND OH
44114-4115
US

V. Phone/Fax

Practice location:
  • Phone: 216-400-7474
  • Fax: 216-400-7733
Mailing address:
  • Phone: 216-400-7474
  • Fax: 216-400-7474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number4080
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number35.081981
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number StateOH
# 6
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number35.127094
License Number StateOH

VIII. Authorized Official

Name: DR. ARTOUR DEMOND WRIGHT
Title or Position: CEO
Credential: DC
Phone: 216-400-7474