Healthcare Provider Details

I. General information

NPI: 1598726739
Provider Name (Legal Business Name): RICHMOND HEIGHTS EKG ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27100 CHARDON RD
RICHMOND HEIGHTS OH
44143-1116
US

IV. Provider business mailing address

26700 BROOKPARK ROAD EXT SUITE 1
NORTH OLMSTED OH
44070-3124
US

V. Phone/Fax

Practice location:
  • Phone: 440-585-6500
  • Fax: 216-383-5372
Mailing address:
  • Phone: 440-716-1283
  • Fax: 440-716-1605

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: DR. THOMAS S WILSON
Title or Position: OWNER
Credential: MD
Phone: 440-585-6500