Healthcare Provider Details

I. General information

NPI: 1245221415
Provider Name (Legal Business Name): CLEVELAND ORTHOPAEDIC ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 10/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5706 TURNEY RD SUITE 107
GARFIELD HTS OH
44125-3971
US

IV. Provider business mailing address

5706 TURNEY RD SUITE 107
GARFIELD HTS OH
44125-3971
US

V. Phone/Fax

Practice location:
  • Phone: 216-332-0887
  • Fax: 216-332-0875
Mailing address:
  • Phone: 216-332-0887
  • Fax: 216-332-0875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateOH

VIII. Authorized Official

Name: DR. CYRIL E MARSHALL
Title or Position: PRESIDENT
Credential: MD
Phone: 216-332-0887