Healthcare Provider Details

I. General information

NPI: 1437159829
Provider Name (Legal Business Name): CUYAHOGA VALLEY SPINE & ARTHRITIS CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 03/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14755 PEARL RD
STRONGSVILLE OH
44136-5026
US

IV. Provider business mailing address

PO BOX 41220
BRECKSVILLE OH
44141-0220
US

V. Phone/Fax

Practice location:
  • Phone: 440-846-6260
  • Fax: 440-846-1966
Mailing address:
  • Phone: 440-846-6260
  • Fax: 440-846-1966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN EDWARD SCHNELL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 440-846-6260