Healthcare Provider Details

I. General information

NPI: 1447624358
Provider Name (Legal Business Name): RINGAILE SIRVAITIS C.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7580 AUBURN ROAD STE. 301
CONCORD TOWNSHIP OH
44077-9618
US

IV. Provider business mailing address

2000 AUBURN DR. STE. 350
BEACHWOOD OH
44122-4327
US

V. Phone/Fax

Practice location:
  • Phone: 440-352-7546
  • Fax: 440-352-5260
Mailing address:
  • Phone: 440-646-1600
  • Fax: 440-646-1505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN.372888
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: