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NPI Code Detail

MEDICARE: RICHMOND HEIGHTS EKG ASSOCIATES

MEDICARE: RICHMOND HEIGHTS EKG ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120183772600OTHEROHWORKERS COMP

General Provider Information

NPI Number : 1598726739
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHMOND HEIGHTS EKG ASSOCIATES
Provider Business Mailing Address
First Line : 26700 BROOKPARK ROAD EXT
Second Line : SUITE 1
City : NORTH OLMSTED
State : OH
Zip : 44070-3124
Country : US
Telephone Number : 440-716-1283
Fax Number : 440-716-1605
Provider Business Practice Location Address
First Line : 27100 CHARDON RD
Second Line :
City : RICHMOND HEIGHTS
State : OH
Zip : 44143-1116
Country : US
Telephone Number : 440-585-6500
Fax Number : 216-383-5372
Authorized Official
Title or Position : OWNER
Name : DR. THOMAS S WILSON
Credential : MD
Telephone Number : 440-585-6500
Provider Enumeration Date : 03/29/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1265417117 — MOHAMAD MAROUF MD
Practice Location Address:
27100 CHARDON RD
RICHMOND HEIGHTS, OH
44143-1116
Practice Phone: 440-585-6500
Practice Fax: 330-656-5901
1194700948 — GEORGE M. BERNSTEIN MD
Practice Location Address:
27100 CHARDON RD
RICHMOND HEIGHTS, OH
44143-1116
Practice Phone: 440-585-6500
Practice Fax: 330-656-5901
1063497816 — LARRY E. GLAUDE M.D.
Practice Location Address:
27100 CHARDON RD
RICHMOND HEIGHTS, OH
44143-1116
Practice Phone: 440-585-6500
Practice Fax: 330-656-5901
1992781504 — ROBERT COLEMAN MD
Practice Location Address:
27100 CHARDON RD
RICHMOND HEIGHTS, OH
44143-1116
Practice Phone: 440-585-6500
Practice Fax: 330-656-5901
1861478778 — DR. PATRICK KEITH GRAY DO
Practice Location Address:
27100 CHARDON RD
RICHMOND HEIGHTS, OH
44143-1116
Practice Phone: 440-585-6500
Practice Fax: 330-656-5901
1306823737 — MARIAN BARNETT-RICO MD
Practice Location Address:
27100 CHARDON RD
RICHMOND HEIGHTS, OH
44143-1116
Practice Phone: 440-585-6500
Practice Fax: 330-656-5901

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