Healthcare Provider Details

I. General information

NPI: 1003620261
Provider Name (Legal Business Name): LEAH SUCHORA CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29160 CENTER RIDGE RD STE M
WESTLAKE OH
44145-5258
US

IV. Provider business mailing address

29160 CENTER RIDGE RD STE M
WESTLAKE OH
44145-5258
US

V. Phone/Fax

Practice location:
  • Phone: 440-835-6996
  • Fax: 440-250-8743
Mailing address:
  • Phone: 440-835-6996
  • Fax: 440-250-8743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM09962
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: