Active NPI 1578532479 Individual Practitioner Male Practitioner

Dr. David S Turk , MD

Urology • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Turk, MD is a certified Urology practicing in Fort Wayne, IN. With approximately 32 years of clinical experience since graduating from Medical College Of Ohio in 1994, Dr. Turk delivers high-quality medical care to the local community at 11141 PARKVIEW PLAZA DR STE 320.

Dr. Turk is affiliated with Ohio Specialty Physicians Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, automated urinalysis test, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11141 Parkview Plaza Dr Ste 320

Fort Wayne, IN 468451714

Telephone 2604255400

Associated Practice Facility / Clinic

🏢 Parkview Health System, Inc. Facility NPI 1144555020

Medicare Profile & Education

Medical School

Medical College Of Ohio

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Fort Wayne, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +10.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

33 Specialists

Practicing in Fort Wayne, IN (320 Statewide)

Telehealth Adoption Rate

30.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Turk (32 Years) 32 Yrs

Fort Wayne Specialty Average (21.1 Years) 21.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	182	82	$319.00	$58.70
81003 Automated urinalysis test	163	155	$17.24	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	130	117	$293.44	$84.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	85	$430.48	$120.35
84153 Psa (prostate specific antigen) measurement, total	72	69	$152.18	$18.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	63	$201.00	$123.62
36415 Insertion of needle into vein for collection of blood sample	64	61	$18.06	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	48	$145.00	$89.62
52000 Diagnostic exam of bladder and urethra using an endoscope	48	44	$303.67	$69.77
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	42	30	$234.00	$44.68
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$99.00	$62.75
51798 Ultrasound measurement of bladder capacity after voiding	19	16	$120.45	$10.10
55700 Biopsy of prostate gland	18	18	$785.85	$122.95
76872 Ultrasound scan of pelvic region through rectum	17	17	$162.03	$30.50
52000 Diagnostic exam of bladder and urethra using an endoscope	16	16	$863.68	$217.03
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	12	$749.29	$99.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	824	590	$23.93	$2.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	569	471	$192.86	$121.60
99213 Established patient office or other outpatient visit, typically 15 minutes	411	303	$119.34	$85.43
87150 Identification of organisms by genetic analysis	372	31	$107.68	$34.39
36415 Insertion of needle into vein for collection of blood sample	331	264	$15.44	$8.40
84153 Psa (prostate specific antigen) measurement, total	326	258	$106.08	$18.02
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	240	98	$185.50	$59.55
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	180	25	$741.31	$169.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	77	58	$91.37	$46.89
52000 Diagnostic exam of bladder and urethra using an endoscope	75	51	$721.46	$224.31
51798 Ultrasound measurement of bladder capacity after voiding	66	56	$62.81	$9.80
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	51	25	$121.68	$31.45
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	51	34	$136.78	$44.83
76872 Ultrasound scan of pelvic region through rectum	48	48	$452.63	$31.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$237.14	$107.05
76775 Limited ultrasound scan behind abdominal cavity	39	37	$148.58	$29.34
52000 Diagnostic exam of bladder and urethra using an endoscope	35	33	$718.71	$68.39
55700 Biopsy of prostate gland	35	35	$700.74	$124.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	31	$131.62	$76.43
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	31	31	$107.45	$34.39
81001 Manual urinalysis test with examination using microscope, automated	28	28	$24.57	$3.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$266.72	$159.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$199.00	$125.81
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	13	$1228.01	$138.51
74018 X-ray of abdomen, 1 view	15	12	$77.20	$19.57
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$3091.61	$699.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	891	614	$25.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	515	372	$93.42	$87.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	441	378	$142.43	$122.84
87150 Identification of organisms by genetic analysis	311	28	$88.31	$34.62
36415 Insertion of needle into vein for collection of blood sample	304	252	$15.00	$2.96
84153 Psa (prostate specific antigen) measurement, total	288	237	$98.00	$18.14
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	238	26	$630.00	$178.41
52000 Diagnostic exam of bladder and urethra using an endoscope	97	69	$700.00	$232.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	66	$89.53	$37.72
51798 Ultrasound measurement of bladder capacity after voiding	76	64	$50.00	$9.77
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	70	28	$115.00	$31.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	50	$125.10	$69.17
76872 Ultrasound scan of pelvic region through rectum	36	36	$515.00	$31.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$165.00	$108.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$232.00	$162.72
76775 Limited ultrasound scan behind abdominal cavity	32	32	$145.00	$28.47
74018 X-ray of abdomen, 1 view	30	23	$75.00	$20.07
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	28	28	$87.75	$34.64
55700 Biopsy of prostate gland	28	28	$530.00	$127.37
52000 Diagnostic exam of bladder and urethra using an endoscope	25	23	$700.00	$75.94
81001 Manual urinalysis test with examination using microscope, automated	24	23	$25.00	$3.13
51702 Simple insertion of temporary bladder tube	20	11	$205.00	$59.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$69.00	$54.44
G0103 Prostate cancer screening; prostate specific antigen test (psa)	17	17	$70.00	$18.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	940	631	$25.00	$2.24
99213 Established patient office or other outpatient visit, typically 15 minutes	571	419	$93.00	$88.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	418	360	$142.22	$126.13
36415 Insertion of needle into vein for collection of blood sample	284	246	$15.00	$3.00
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	273	34	$630.00	$179.76
84153 Psa (prostate specific antigen) measurement, total	204	167	$98.00	$18.39
52000 Diagnostic exam of bladder and urethra using an endoscope	125	86	$695.14	$221.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	105	77	$90.00	$37.67
G0103 Prostate cancer screening; prostate specific antigen test (psa)	82	82	$70.00	$19.31
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	81	36	$115.00	$30.97
51798 Ultrasound measurement of bladder capacity after voiding	78	70	$50.00	$9.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	66	$125.01	$70.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$232.00	$162.10
81001 Manual urinalysis test with examination using microscope, automated	44	44	$25.00	$3.17
76872 Ultrasound scan of pelvic region through rectum	40	40	$515.00	$32.49
52000 Diagnostic exam of bladder and urethra using an endoscope	31	29	$700.00	$70.92
55700 Biopsy of prostate gland	28	28	$530.00	$127.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$162.33	$109.04
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	19	$993.18	$129.11
74018 X-ray of abdomen, 1 view	21	18	$75.00	$19.50
76775 Limited ultrasound scan behind abdominal cavity	19	18	$145.00	$28.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$69.00	$54.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	636	473	$25.00	$3.15
99213 Established patient office or other outpatient visit, typically 15 minutes	569	386	$93.62	$72.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	450	413	$142.00	$105.51
81003 Automated urinalysis test	281	248	$25.00	$2.24
36415 Insertion of needle into vein for collection of blood sample	253	224	$15.00	$2.98
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	253	30	$630.00	$222.50
84153 Psa (prostate specific antigen) measurement, total	177	149	$98.00	$18.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	151	114	$90.47	$38.97
52000 Diagnostic exam of bladder and urethra using an endoscope	102	75	$702.94	$199.75
51798 Ultrasound measurement of bladder capacity after voiding	88	72	$50.00	$9.58
G0103 Prostate cancer screening; prostate specific antigen test (psa)	83	83	$70.00	$19.17
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	75	29	$115.00	$30.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	53	$125.80	$71.80
51702 Simple insertion of temporary bladder tube	50	16	$205.00	$59.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$232.00	$161.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$165.00	$104.76
99221 Initial hospital inpatient care per day, typically 30 minutes	34	33	$188.24	$99.75
76872 Ultrasound scan of pelvic region through rectum	31	31	$515.00	$33.49
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	23	$1087.55	$151.32
74018 X-ray of abdomen, 1 view	25	21	$75.00	$18.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$69.00	$42.35
52000 Diagnostic exam of bladder and urethra using an endoscope	21	21	$685.24	$80.07
55700 Biopsy of prostate gland	20	20	$530.00	$133.31
76775 Limited ultrasound scan behind abdominal cavity	16	16	$145.00	$27.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	947	659	$25.00	$3.44
99213 Established patient office or other outpatient visit, typically 15 minutes	767	506	$93.09	$71.29
36415 Insertion of needle into vein for collection of blood sample	382	323	$15.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	372	349	$142.00	$104.41
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	209	22	$630.00	$226.14
84153 Psa (prostate specific antigen) measurement, total	204	152	$97.86	$20.03
G0103 Prostate cancer screening; prostate specific antigen test (psa)	180	180	$70.00	$20.03
51798 Ultrasound measurement of bladder capacity after voiding	112	90	$50.00	$11.82
52000 Diagnostic exam of bladder and urethra using an endoscope	109	80	$702.75	$178.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	93	67	$91.14	$38.78
99221 Initial hospital inpatient care per day, typically 30 minutes	84	81	$200.27	$99.89
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	64	26	$115.00	$29.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$232.00	$157.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$165.00	$103.09
81003 Automated urinalysis test	47	43	$25.00	$2.44
76872 Ultrasound scan of pelvic region through rectum	41	40	$515.00	$33.19
51702 Simple insertion of temporary bladder tube	36	11	$205.00	$59.23
55700 Biopsy of prostate gland	35	34	$530.00	$129.76
74018 X-ray of abdomen, 1 view	29	22	$75.00	$17.71
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	15	$931.23	$142.41
76775 Limited ultrasound scan behind abdominal cavity	21	19	$145.00	$27.24
52000 Diagnostic exam of bladder and urethra using an endoscope	18	18	$700.00	$70.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	1,062	744	$25.00	$3.81
99213 Established patient office or other outpatient visit, typically 15 minutes	741	534	$93.00	$69.68
36415 Insertion of needle into vein for collection of blood sample	398	344	$15.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	379	358	$142.00	$103.27
84153 Psa (prostate specific antigen) measurement, total	258	206	$98.00	$22.18
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	246	28	$630.00	$211.73
G0103 Prostate cancer screening; prostate specific antigen test (psa)	139	139	$70.00	$22.26
52000 Diagnostic exam of bladder and urethra using an endoscope	119	87	$705.04	$152.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	104	86	$90.00	$38.47
51798 Ultrasound measurement of bladder capacity after voiding	91	80	$50.00	$14.67
99221 Initial hospital inpatient care per day, typically 30 minutes	76	76	$200.29	$99.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$165.00	$101.44
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	52	28	$115.00	$28.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$232.00	$156.97
74018 X-ray of abdomen, 1 view	37	23	$75.00	$16.64
51702 Simple insertion of temporary bladder tube	36	19	$205.00	$61.14
86386 Protein test for diagnosis and monitoring of bladder cancer	30	28	$72.00	$21.34
76872 Ultrasound scan of pelvic region through rectum	25	24	$515.00	$32.69
81003 Automated urinalysis test	23	11	$25.00	$2.71
55700 Biopsy of prostate gland	22	21	$530.00	$120.10
76775 Limited ultrasound scan behind abdominal cavity	19	19	$145.00	$27.13
52000 Diagnostic exam of bladder and urethra using an endoscope	19	18	$700.00	$71.08
74176 Ct scan of abdomen and pelvis without contrast	17	17	$1256.57	$104.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$132.13	$71.99
52005 Insertion of tube into ureter using an endoscope through bladder area	11	11	$1200.00	$110.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	1,148	790	$25.00	$4.24
99213 Established patient office or other outpatient visit, typically 15 minutes	728	498	$93.00	$69.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	591	530	$142.15	$102.88
36415 Insertion of needle into vein for collection of blood sample	443	375	$15.19	$2.94
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	297	34	$630.00	$208.49
84153 Psa (prostate specific antigen) measurement, total	249	195	$98.00	$24.73
G0103 Prostate cancer screening; prostate specific antigen test (psa)	192	192	$70.00	$24.73
51798 Ultrasound measurement of bladder capacity after voiding	138	121	$50.00	$17.81
52000 Diagnostic exam of bladder and urethra using an endoscope	135	102	$706.67	$153.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	88	72	$90.00	$38.36
99221 Initial hospital inpatient care per day, typically 30 minutes	82	80	$199.34	$99.15
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	67	36	$115.00	$30.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$232.00	$158.10
51702 Simple insertion of temporary bladder tube	51	20	$205.00	$59.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$165.00	$101.46
86386 Protein test for diagnosis and monitoring of bladder cancer	44	41	$72.00	$21.47
81003 Automated urinalysis test	38	27	$25.00	$3.02
52000 Diagnostic exam of bladder and urethra using an endoscope	27	20	$700.00	$100.23
76872 Ultrasound scan of pelvic region through rectum	24	24	$515.00	$32.86
55700 Biopsy of prostate gland	22	22	$530.00	$127.94
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$500.00	$31.85
76775 Limited ultrasound scan behind abdominal cavity	20	19	$145.00	$27.41
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	15	$992.11	$141.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$69.00	$41.38
74000 X-ray of abdomen, single view	18	16	$75.00	$13.34
76872 Ultrasound scan of pelvic region through rectum	11	11	$515.00	$83.04

Medical Specialties & State Licenses

CMS Verified: 2020-09-30

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IN 01083930A

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License OH 35069773T

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2196485 (OH)

Hospital & Practice Group Affiliations

Ohio Specialty Physicians Corporation

2600 Tuscarawas St W, Canton, OH 447084698

Phone: 3304582000

Secondary Practice Locations

6900 Pearl Road, 2nd Floor

Middleburg Heights, OH 441303639

Phone: 4408450900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners

Dr. Sable Locke , MD

Urology

NPI 1043630916

Doctor of Medicine (M.D.)

Megan Krom , FNP-C

Nurse Practitioner

NPI 1124773171

Family Nurse Practitioner (Certified)

Madelyn Boggs , PA

Physician Assistant

NPI 1124796792

Physician Assistant

Dr. Jorge Arzola , MD

Urology

NPI 1205856382

Doctor of Medicine (M.D.)

Dr. David Pollifrone , MD

Urology

NPI 1215901574

Doctor of Medicine (M.D.)

Felisha Kiehl , NP

Nurse Practitioner

NPI 1235692500

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2020

Urology (License #35069773T in OH)

📍

Updated Practice Location May 27, 2020

Registered at 11141 PARKVIEW PLAZA DR STE 320, FORT WAYNE, IN 468451714 (Tel: 2604255400)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2020

Urology (License #01083930A in IN)

✅

NPI Profile Active April 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 13, 2012

Registered at 6900 PEARL ROAD, 2ND FLOOR, MIDDLEBURG HEIGHTS, OH 441303639 (Tel: 4408450900)

📍

Updated Business Mailing Address April 13, 2012

Registered at 6900 PEARL ROAD, 2ND FLOOR, MIDDLEBURG HEIGHTS, OH 441303639 (Tel: 4408450900)

👤

Provider Name / Credentials Updated April 13, 2012

Recorded as DAVID TURK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2012

Urology (License #35069773T in OH)

🟢

Initial NPI Registration & Enumeration March 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578532479

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 15, 2006

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6900 Pearl Road, 2nd Floor

Middleburg Heights, OH 441303639

Phone: 4408450900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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