Active NPI 1487722351 Individual Practitioner Male Practitioner

Dr. Robert Bruce Leb , MD

Specialist • Beachwood, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Leb, MD is a certified Specialist practicing in Beachwood, OH. With approximately 39 years of clinical experience since graduating from Ohio State University College Of Medicine in 1987, Dr. Leb delivers high-quality medical care to the local community at 23250 MERCANTILE RD.

Dr. Leb is affiliated with University Primary Care Practices Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, limited ultrasound scan of joint or other extremity structure except blood vessels. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

23250 Mercantile Rd
Suite 100

Beachwood, OH 441225928

Telephone 2168317855

Fax 2168315320

Associated Practice Facility / Clinic

🏢 Brahms, Cohn & Leb, Inc Facility NPI 1972698660

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Beachwood, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +2.5 yrs vs City Avg

City Avg: 36.5 Yrs

State Avg: 37.3 Yrs

Regional Practice Density

12 Specialists

Practicing in Beachwood, OH (1444 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Leb (39 Years) 39 Yrs

Beachwood Specialty Average (36.5 Years) 36.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	319	152	$187.00	$120.83
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	281	43	$7.94	$0.99
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	218	101	$80.00	$58.78
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	101	39	$285.35	$106.51
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	58	12	$1309.96	$121.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$270.00	$158.27
99213 Established patient office or other outpatient visit, typically 15 minutes	38	33	$133.00	$85.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$262.00	$170.51
99234 Hospital observation or inpatient care low severity, 40 minutes per day	12	12	$220.00	$92.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	397	83	$21.98	$1.06
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	215	116	$184.28	$40.86
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	205	94	$587.66	$93.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	108	$187.75	$122.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	85	$318.18	$172.45
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	73	19	$950.00	$77.47
73564 X-ray of knee, 4 or more views	55	36	$250.00	$40.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$295.20	$159.90
73590 X-ray of lower leg, 2 views	55	36	$254.00	$27.93
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	37	11	$454.20	$127.17
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$128.26	$85.97
73000 X-ray of collar bone	14	14	$247.00	$22.23
73010 X-ray of shoulder blade	13	13	$260.00	$16.81
73060 X-ray of upper arm, minimum of 2 views	13	13	$200.00	$23.37
73030 X-ray of shoulder, minimum of 2 views	12	12	$292.00	$24.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$223.00	$125.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,014	249	$60.00	$1.14
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	861	270	$850.00	$89.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	610	310	$350.00	$181.02
76881 Complete ultrasound of joint of arm or leg	589	261	$670.00	$58.20
73564 X-ray of knee, 4 or more views	522	230	$250.00	$41.74
73590 X-ray of lower leg, 2 views	519	228	$253.99	$28.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	291	200	$278.00	$128.70
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	286	78	$953.32	$75.37
73552 X-ray of thigh bone, minimum 2 views	266	83	$265.00	$25.95
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	217	141	$670.00	$55.15
77071 Application of stress by physician for joint imaging	211	141	$350.00	$56.35
73030 X-ray of shoulder, minimum of 2 views	150	97	$292.00	$27.70
73060 X-ray of upper arm, minimum of 2 views	149	96	$200.00	$25.53
73010 X-ray of shoulder blade	140	93	$260.00	$20.40
73523 X-ray of both hips, minimum of 5 views	137	83	$325.00	$44.74
72202 X-ray of joint between lower spine and hip bone, 3 or more views	123	79	$325.00	$28.84
73000 X-ray of collar bone	111	81	$247.00	$26.15
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	107	78	$1532.00	$1199.98
73110 X-ray of wrist, minimum of 3 views	82	50	$247.00	$31.77
73130 X-ray of hand, minimum of 3 views	80	50	$243.00	$28.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	78	78	$518.00	$221.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$501.00	$167.37
72114 X-ray lower and sacral spine, minimum of 6 views	67	64	$743.00	$44.96
73610 X-ray of ankle, minimum of 3 views	66	27	$258.00	$25.01
73630 X-ray of foot, minimum of 3 views	65	25	$266.00	$23.38
72052 X-ray of upper spine, 6 or more views	54	53	$515.00	$48.88
73650 X-ray of heel, minimum of 2 views	42	21	$234.00	$24.67
20606 Aspiration and/or injection of fluid from medium joint using ultrasound guidance	27	16	$750.00	$79.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$700.00	$199.76
73050 X-ray of both collar bones joints	18	18	$287.00	$25.36
73080 X-ray of elbow, minimum of 3 views	18	14	$200.00	$21.71
73090 X-ray of forearm, 2 views	16	12	$233.00	$18.47
20550 Injection into tendon or ligament	16	16	$250.00	$51.69
97607 Negative pressure wound therapy surface area less than or equal to 50 square centimeters per session	12	11	$600.00	$24.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76881 Complete ultrasound of joint of arm or leg	1,310	417	$670.00	$65.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	997	277	$60.00	$1.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	800	361	$277.82	$131.35
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	689	285	$850.00	$89.20
73564 X-ray of knee, 4 or more views	460	241	$250.00	$42.02
73590 X-ray of lower leg, 2 views	457	241	$254.00	$28.99
77071 Application of stress by physician for joint imaging	372	238	$350.00	$55.08
73552 X-ray of thigh bone, minimum 2 views	248	87	$265.00	$30.06
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	233	148	$1532.00	$1219.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$501.00	$171.57
73030 X-ray of shoulder, minimum of 2 views	149	86	$292.00	$30.73
73010 X-ray of shoulder blade	147	84	$260.00	$21.73
73000 X-ray of collar bone	143	84	$247.00	$28.71
73060 X-ray of upper arm, minimum of 2 views	142	84	$200.00	$28.85
73050 X-ray of both collar bones joints	127	84	$286.98	$26.02
73523 X-ray of both hips, minimum of 5 views	119	82	$323.95	$53.36
72202 X-ray of joint between lower spine and hip bone, 3 or more views	117	82	$325.00	$33.42
73130 X-ray of hand, minimum of 3 views	112	60	$243.00	$30.49
73110 X-ray of wrist, minimum of 3 views	112	60	$247.00	$33.67
72114 X-ray lower and sacral spine, minimum of 6 views	93	85	$742.99	$47.49
72052 X-ray of upper spine, 6 or more views	67	66	$515.03	$49.77
73610 X-ray of ankle, minimum of 3 views	61	30	$258.01	$32.09
73630 X-ray of foot, minimum of 3 views	60	29	$266.00	$30.01
73650 X-ray of heel, minimum of 2 views	59	29	$234.00	$25.41
73080 X-ray of elbow, minimum of 3 views	35	21	$200.00	$23.29
73090 X-ray of forearm, 2 views	33	19	$233.00	$20.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	27	$350.00	$184.00
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$185.96	$92.50
20550 Injection into tendon or ligament	23	20	$250.00	$49.04
27350 Removal of knee cap	12	12	$11291.01	$202.51
20606 Aspiration and/or injection of fluid from medium joint using ultrasound guidance	12	11	$750.00	$91.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$700.00	$204.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	391	172	$120.00	$72.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	224	40	$5.76	$1.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	95	$154.30	$104.09
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	106	41	$169.81	$92.73
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	98	29	$1.00	$0.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	59	$70.00	$43.53
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	69	16	$170.29	$80.57
73564 X-ray of knee, 4 or more views	64	49	$102.50	$40.14
73030 X-ray of shoulder, minimum of 2 views	58	38	$76.74	$30.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$150.00	$105.19
72170 X-ray of pelvis, 1-2 views	37	30	$60.00	$25.31
73502 X-ray of hip, 2-3 views	35	23	$75.00	$40.91
73130 X-ray of hand, minimum of 3 views	31	14	$75.35	$31.47
73110 X-ray of wrist, minimum of 3 views	30	15	$77.13	$35.22
73630 X-ray of foot, minimum of 3 views	27	20	$45.74	$25.57
72110 X-ray of lower and sacral spine, minimum of 4 views	25	23	$72.00	$29.63
99441 Telephone medical discussion with physician, 5-10 minutes	23	18	$40.00	$40.00
99442 Telephone medical discussion with physician, 11-20 minutes	22	17	$65.00	$65.29
73565 X-ray of both knees while standing	22	20	$60.00	$34.82
73610 X-ray of ankle, minimum of 3 views	22	12	$60.45	$29.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$200.00	$137.28
73080 X-ray of elbow, minimum of 3 views	18	13	$65.00	$27.99
20610 Aspiration and/or injection of fluid from large joint	17	14	$150.00	$61.16
73590 X-ray of lower leg, 2 views	17	11	$113.53	$27.48
77080 Dxa bone density measurement of hip, pelvis, spine	12	12	$100.00	$37.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$300.00	$201.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$391.55	$166.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	670	233	$120.01	$71.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	149	$150.00	$104.56
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	169	55	$150.00	$87.42
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	118	33	$156.99	$78.41
73564 X-ray of knee, 4 or more views	112	81	$89.55	$38.94
73630 X-ray of foot, minimum of 3 views	65	34	$54.23	$26.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$150.00	$104.67
73030 X-ray of shoulder, minimum of 2 views	60	41	$65.00	$28.46
73130 X-ray of hand, minimum of 3 views	57	26	$65.00	$31.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	56	12	$3.75	$1.55
73110 X-ray of wrist, minimum of 3 views	54	24	$65.00	$34.32
73610 X-ray of ankle, minimum of 3 views	50	18	$63.70	$31.01
72170 X-ray of pelvis, 1-2 views	48	41	$60.00	$31.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	39	$70.00	$42.16
73502 X-ray of hip, 2-3 views	42	32	$75.00	$40.40
72110 X-ray of lower and sacral spine, minimum of 4 views	38	36	$86.84	$32.85
73565 X-ray of both knees while standing	37	37	$60.00	$33.98
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	37	14	$1.00	$0.03
73080 X-ray of elbow, minimum of 3 views	34	12	$65.00	$28.11
77080 Dxa bone density measurement of hip, pelvis, spine	28	28	$100.00	$37.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$200.00	$134.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$300.00	$199.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	17	$85.00	$71.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$200.00	$159.56
72148 MRI scan of lower spinal canal	15	15	$1200.00	$134.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	676	269	$120.09	$69.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	170	$150.00	$102.96
73564 X-ray of knee, 4 or more views	131	87	$90.00	$37.16
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	126	38	$150.00	$87.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$150.41	$102.52
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	101	24	$157.18	$85.39
73630 X-ray of foot, minimum of 3 views	85	56	$50.40	$22.72
73030 X-ray of shoulder, minimum of 2 views	65	47	$64.62	$26.62
72170 X-ray of pelvis, 1-2 views	63	58	$59.68	$28.85
73610 X-ray of ankle, minimum of 3 views	56	29	$61.79	$28.19
73110 X-ray of wrist, minimum of 3 views	52	18	$63.94	$32.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	35	$85.00	$71.31
72110 X-ray of lower and sacral spine, minimum of 4 views	48	47	$90.63	$29.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	36	$200.00	$134.06
73130 X-ray of hand, minimum of 3 views	36	24	$65.00	$29.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	32	$70.00	$41.84
73502 X-ray of hip, 2-3 views	32	25	$75.00	$37.54
77080 Dxa bone density measurement of hip, pelvis, spine	29	29	$100.00	$39.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$300.00	$198.76
73565 X-ray of both knees while standing	24	24	$60.00	$31.95
72050 X-ray of upper spine, 4 or 5 views	20	20	$70.00	$25.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$200.00	$159.04
73721 Mri scan of leg joint without contrast	13	12	$1075.00	$137.70
73590 X-ray of lower leg, 2 views	13	12	$58.46	$26.20
73221 Mri scan of arm joint without contrast	12	12	$1075.00	$155.81
73552 X-ray of thigh bone, minimum 2 views	11	11	$65.00	$30.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	699	270	$120.03	$69.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	154	$150.00	$101.70
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	167	46	$150.00	$87.14
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	130	30	$175.00	$85.11
73564 X-ray of knee, 4 or more views	122	81	$88.75	$36.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$150.00	$102.93
73030 X-ray of shoulder, minimum of 2 views	101	57	$64.50	$26.37
73610 X-ray of ankle, minimum of 3 views	89	26	$64.44	$27.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	69	$70.00	$41.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	56	$85.00	$70.41
73110 X-ray of wrist, minimum of 3 views	69	29	$64.07	$32.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	64	$200.00	$133.65
73502 X-ray of hip, 2-3 views	65	49	$75.00	$38.24
73630 X-ray of foot, minimum of 3 views	59	45	$56.34	$24.51
73130 X-ray of hand, minimum of 3 views	55	32	$63.99	$28.50
72170 X-ray of pelvis, 1-2 views	54	47	$60.00	$29.27
72110 X-ray of lower and sacral spine, minimum of 4 views	38	38	$86.89	$30.12
73565 X-ray of both knees while standing	35	35	$60.00	$32.33
77080 Dxa bone density measurement of hip, pelvis, spine	33	33	$100.00	$38.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$300.00	$197.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$200.00	$157.08
73080 X-ray of elbow, minimum of 3 views	21	12	$60.35	$26.36
73590 X-ray of lower leg, 2 views	19	14	$60.00	$25.69
72050 X-ray of upper spine, 4 or 5 views	16	16	$84.50	$27.95
73221 Mri scan of arm joint without contrast	13	13	$1075.00	$154.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$120.00	$101.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$150.00	$71.65

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 35060491

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0934056 (OH)

Hospital & Practice Group Affiliations

University Primary Care Practices Inc

1025 Ctr St, Ashland, OH 448054011

Phone: 4192899800

University Primary Care Practices Inc

158 W Main Rd, Conneaut, OH 440302039

Practice Associates & Co-Workers

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

8 Associated Practitioners

Anthony Ciavarella , PA-C

Physician Assistant

NPI 1104994078

Physician Assistant (Certified)

Dr. Madelyne John , DPT

Physical Therapist

NPI 1124718093

Doctor of Physical Therapy

Dr. Stephen Sores , DPT

Physical Therapist

NPI 1184305070

Doctor of Physical Therapy

Michael Hohman

Physical Therapist

NPI 1215605175

Dr. Rebecca Bernice , DPT

Physical Therapist

NPI 1598510745

Doctor of Physical Therapy

Dr. Jarrett Pease , DPT

Physical Therapist

NPI 1659112225

Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 05, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 05, 2012

Registered at 23250 MERCANTILE RD, SUITE 100, BEACHWOOD, OH 441225928 (Tel: 2168317855)

📍

Updated Business Mailing Address March 05, 2012

Registered at 23250 MERCANTILE RD, SUITE 100, BEACHWOOD, OH 441225928 (Tel: 2168317855)

👤

Provider Name / Credentials Updated March 05, 2012

Recorded as ROBERT LEB, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2012

Specialist (License #35060491 in OH)

🟢

Initial NPI Registration & Enumeration December 01, 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: 1487722351

Entity Type:

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

Enumeration Date: December 01, 2006

Last Update: March 05, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

23250 Mercantile Rd, Suite 100

Beachwood, OH 441225928

Phone: 2168317855

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.