Healthcare Provider Details

I. General information

NPI: 1457477291
Provider Name (Legal Business Name): NORTH OHIO HEART CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 ROCKSIDE RD SUITE 100
INDEPENDENCE OH
44131-2358
US

IV. Provider business mailing address

1220 MOORE RD SUITE B
AVON OH
44011-4044
US

V. Phone/Fax

Practice location:
  • Phone: 216-621-5000
  • Fax: 216-621-5034
Mailing address:
  • Phone: 440-930-4444
  • Fax: 440-934-0682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: GARY EDWARD THOME
Title or Position: CFO
Credential:
Phone: 440-930-4400