Healthcare Provider Details

I. General information

NPI: 1982983425
Provider Name (Legal Business Name): OHIO EMERGENCY PROFESSIONALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2011
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 W BROAD ST
COLUMBUS OH
43215-3301
US

IV. Provider business mailing address

7123 PEARL RD STE 201
CLEVELAND OH
44130-4944
US

V. Phone/Fax

Practice location:
  • Phone: 440-887-4718
  • Fax: 440-842-8835
Mailing address:
  • Phone: 440-887-4718
  • Fax: 440-842-8835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ROBIN MOUGANIS
Title or Position: DIRECTOR
Credential:
Phone: 856-686-4394