MEDICARE: OHIO CHEST PHYSICIANS LTD

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
1	207RP1001X	Pulmonary Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972556801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO CHEST PHYSICIANS LTD

Provider Business Mailing Address
First Line	:	PO BOX 932085
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44193-0001
Country	:	US
Telephone Number	:	888-328-4492
Fax Number	:

Provider Business Practice Location Address
First Line	:	6681 RIDGE RD
Second Line	:	SUITE 206
City	:	CLEVELAND
State	:	OH
Zip	:	44129-5713
Country	:	US
Telephone Number	:	216-398-7373
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	PATRICIA VOLLE
Credential	:
Telephone Number	:	216-267-5139

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	01/06/2021

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Directions to “OHIO CHEST PHYSICIANS LTD ” Practice Location

Language	Start Address	Practice Location

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