Active NPI 1811079379 Individual Practitioner Male Practitioner

Dr. Michael Patrick Brown , DO

Surgery - Vascular Surgery • Cleveland, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Brown, DO is a certified Surgery - Vascular Surgery practicing in Cleveland, OH. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Brown delivers high-quality medical care to the local community at 7255 OLD OAK BLVD STE C108.

Dr. Brown is affiliated with Southwest General Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound study of arm or leg veins with compression and maneuvers, ultrasound of both sides of head and neck blood flow, ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7255 Old Oak Blvd Ste C108

Cleveland, OH 441303329

Telephone 4408162786

Associated Practice Facility / Clinic

🏢 Geauga Sports Medicine, Llc Facility NPI 1396746970

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Cleveland, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +5.4 yrs vs City Avg

City Avg: 21.6 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

52 Specialists

Practicing in Cleveland, OH (250 Statewide)

Telehealth Adoption Rate

30.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brown (27 Years) 27 Yrs

Cleveland Specialty Average (21.6 Years) 21.6 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
93970 Ultrasound study of arm or leg veins with compression and maneuvers	339	327	$140.00	$30.94
93880 Ultrasound of both sides of head and neck blood flow	331	320	$160.00	$36.00
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	216	206	$124.03	$19.72
99213 Established patient office or other outpatient visit, typically 15 minutes	194	140	$170.00	$85.15
93926 Ultrasound of one leg arteries or artery grafts	41	33	$105.00	$21.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$200.00	$105.15
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	39	39	$350.00	$36.14
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	29	22	$115.00	$78.25
76937 Ultrasonic guidance for blood vessel access	27	25	$60.00	$13.18
93923 Complete ultrasound study of arm and leg arteries	27	27	$174.07	$20.60
75625 Radiological supervision and interpretation X-ray of abdominal aorta	27	24	$215.00	$64.21
93925 Ultrasound of leg arteries or artery grafts	21	21	$420.00	$35.71
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	18	18	$140.00	$49.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$250.00	$118.08
76706 Ultrasound scan of abdominal aorta	14	14	$95.00	$24.50
93922 Ultrasound study of arm and leg arteries	12	12	$150.00	$11.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	332	322	$140.00	$32.52
93880 Ultrasound of both sides of head and neck blood flow	300	288	$160.00	$37.47
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	235	212	$65.00	$20.89
99213 Established patient office or other outpatient visit, typically 15 minutes	168	134	$167.50	$86.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$200.00	$107.06
93923 Complete ultrasound study of arm and leg arteries	45	44	$65.00	$21.37
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	40	39	$350.00	$37.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	25	$235.00	$123.23
76937 Ultrasonic guidance for blood vessel access	26	22	$60.00	$14.04
93926 Ultrasound of one leg arteries or artery grafts	23	19	$105.00	$21.50
93925 Ultrasound of leg arteries or artery grafts	20	19	$420.00	$36.58
76706 Ultrasound scan of abdominal aorta	18	18	$95.00	$25.85
93922 Ultrasound study of arm and leg arteries	15	14	$150.00	$12.04
75625 Radiological supervision and interpretation X-ray of abdominal aorta	15	13	$215.00	$66.27
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	14	12	$115.00	$81.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$250.00	$127.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	103	101	$140.00	$32.96
93880 Ultrasound of both sides of head and neck blood flow	76	76	$160.00	$38.97
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	54	52	$65.00	$21.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$200.00	$108.68
99213 Established patient office or other outpatient visit, typically 15 minutes	44	34	$165.00	$88.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	34	$235.00	$125.51
76937 Ultrasonic guidance for blood vessel access	20	17	$60.00	$13.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$300.00	$164.73
75625 Radiological supervision and interpretation X-ray of abdominal aorta	13	12	$215.00	$68.91
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	11	11	$115.00	$83.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	89	89	$60.00	$38.90
93922 Ultrasound study of arm and leg arteries	68	65	$88.00	$12.94
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	62	48	$123.00	$12.23
99213 Established patient office or other outpatient visit, typically 15 minutes	59	49	$106.00	$67.41
93970 Ultrasound study of arm or leg veins with compression and maneuvers	52	52	$85.00	$33.71
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	46	46	$55.00	$21.63
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	37	28	$165.00	$85.40
75625 Radiological supervision and interpretation X-ray of abdominal aorta	34	27	$165.00	$69.76
93880 Ultrasound of both sides of head and neck blood flow	32	32	$60.00	$38.86
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	30	20	$40.00	$18.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$157.00	$99.51
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	29	29	$55.00	$21.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$162.00	$83.78
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$106.00	$67.40
93926 Ultrasound of one leg arteries or artery grafts	27	27	$53.00	$23.77
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	21	20	$96.38	$39.45
76937 Ultrasonic guidance for blood vessel access	21	17	$50.00	$13.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$242.00	$136.40
93922 Ultrasound study of arm and leg arteries	18	18	$88.00	$12.92
37225 Removal of plaque in arteries of leg	14	13	$1985.00	$484.61
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$85.00	$33.69
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	13	13	$181.00	$56.66
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	11	$395.00	$85.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$157.00	$99.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	66	17	$325.00	$74.58
93880 Ultrasound of both sides of head and neck blood flow	63	62	$60.00	$40.38
93970 Ultrasound study of arm or leg veins with compression and maneuvers	60	59	$85.00	$35.10
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	60	52	$123.00	$12.30
99213 Established patient office or other outpatient visit, typically 15 minutes	52	44	$103.00	$51.59
93922 Ultrasound study of arm and leg arteries	48	44	$88.00	$12.93
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	39	38	$55.00	$22.53
93880 Ultrasound of both sides of head and neck blood flow	38	38	$60.00	$40.42
75625 Radiological supervision and interpretation X-ray of abdominal aorta	36	31	$165.00	$71.47
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	35	30	$165.00	$87.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	18	$152.00	$79.44
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$103.00	$60.75
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	20	20	$87.65	$40.15
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	19	17	$250.00	$91.35
37238 Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation	17	16	$900.00	$318.72
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	17	13	$1050.00	$156.88
37229 Removal of plaque in artery of leg, initial vessel	16	15	$2325.00	$735.69
37225 Removal of plaque in arteries of leg	16	16	$1985.00	$452.68
93926 Ultrasound of one leg arteries or artery grafts	16	14	$53.00	$24.79
76937 Ultrasonic guidance for blood vessel access	15	15	$50.00	$14.61
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	13	$675.00	$237.96
93922 Ultrasound study of arm and leg arteries	12	12	$88.00	$12.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$235.00	$130.40
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$85.00	$35.12
75825 Radiological supervision and interpretation of imaging of major abdominal vein	12	11	$225.00	$56.34
93923 Complete ultrasound study of arm and leg arteries	12	12	$65.00	$22.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$158.00	$76.52
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$55.00	$22.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	118	116	$60.00	$40.10
93970 Ultrasound study of arm or leg veins with compression and maneuvers	84	83	$85.00	$34.51
99213 Established patient office or other outpatient visit, typically 15 minutes	77	70	$100.00	$67.18
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	77	71	$123.00	$12.32
93922 Ultrasound study of arm and leg arteries	64	61	$88.00	$12.67
99213 Established patient office or other outpatient visit, typically 15 minutes	62	53	$100.00	$50.31
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	52	52	$55.00	$22.51
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	41	12	$325.00	$75.30
75625 Radiological supervision and interpretation X-ray of abdominal aorta	36	34	$165.00	$55.79
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	36	29	$165.00	$86.47
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	33	33	$81.00	$39.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$155.00	$75.36
93880 Ultrasound of both sides of head and neck blood flow	30	30	$60.00	$40.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$155.00	$95.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	16	$150.00	$101.17
93926 Ultrasound of one leg arteries or artery grafts	24	23	$53.00	$24.35
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	23	19	$875.00	$170.23
93923 Complete ultrasound study of arm and leg arteries	22	22	$65.00	$22.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	16	$150.00	$77.78
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	17	17	$181.00	$57.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$210.00	$135.36
37225 Removal of plaque in arteries of leg	17	16	$1985.00	$493.98
37229 Removal of plaque in artery of leg, initial vessel	16	16	$2325.00	$680.93
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	11	$25.00	$12.27
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	13	$40.00	$18.66
93970 Ultrasound study of arm or leg veins with compression and maneuvers	15	15	$85.00	$34.50
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	14	$74.29	$29.11
76937 Ultrasonic guidance for blood vessel access	14	11	$50.00	$14.43
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	13	12	$250.00	$93.70
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	12	$675.00	$253.34
93922 Ultrasound study of arm and leg arteries	13	13	$88.00	$12.68
75825 Radiological supervision and interpretation of imaging of major abdominal vein	12	12	$225.00	$55.76
93923 Complete ultrasound study of arm and leg arteries	12	12	$65.00	$22.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$235.00	$157.71
76706 Ultrasound scan of abdominal aorta	11	11	$70.00	$27.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	111	$99.88	$61.45
93880 Ultrasound of both sides of head and neck blood flow	97	97	$59.90	$39.64
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	78	68	$64.58	$12.38
93970 Ultrasound study of arm or leg veins with compression and maneuvers	75	75	$85.00	$34.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	54	$150.00	$93.72
93922 Ultrasound study of arm and leg arteries	55	54	$88.00	$12.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$155.00	$90.07
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	44	44	$55.00	$22.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$235.00	$145.36
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	37	12	$192.00	$74.72
75625 Radiological supervision and interpretation X-ray of abdominal aorta	36	33	$165.00	$55.44
93880 Ultrasound of both sides of head and neck blood flow	30	30	$59.83	$39.63
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	29	26	$165.00	$85.38
93926 Ultrasound of one leg arteries or artery grafts	24	23	$53.00	$24.04
93923 Complete ultrasound study of arm and leg arteries	23	23	$65.00	$21.94
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	23	22	$875.00	$180.02
93922 Ultrasound study of arm and leg arteries	19	19	$95.74	$16.22
37225 Removal of plaque in arteries of leg	18	17	$1985.00	$531.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$210.00	$134.04
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	14	12	$395.57	$92.88
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	13	$55.00	$22.27
76706 Ultrasound scan of abdominal aorta	13	13	$70.00	$27.29
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	12	12	$81.00	$39.40
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	12	12	$181.00	$57.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	198	146	$95.30	$56.97
93970 Ultrasound study of arm or leg veins with compression and maneuvers	117	115	$85.00	$33.72
93880 Ultrasound of both sides of head and neck blood flow	103	102	$55.00	$39.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	82	$140.97	$85.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$155.00	$88.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$235.00	$139.78
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	79	79	$55.76	$21.57
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	72	61	$30.00	$11.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	64	$210.00	$133.65
93922 Ultrasound study of arm and leg arteries	54	53	$88.00	$12.03
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	44	35	$190.00	$51.76
93923 Complete ultrasound study of arm and leg arteries	35	35	$65.00	$21.57
93880 Ultrasound of both sides of head and neck blood flow	34	34	$55.00	$38.36
93926 Ultrasound of one leg arteries or artery grafts	34	32	$53.00	$24.01
75625 Radiological supervision and interpretation X-ray of abdominal aorta	32	30	$181.88	$51.77
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	29	11	$192.00	$75.46
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	24	24	$81.00	$39.28
93922 Ultrasound study of arm and leg arteries	19	18	$88.00	$12.50
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	18	17	$1061.11	$154.03
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	16	14	$823.75	$224.79
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	16	16	$55.00	$21.84
93925 Ultrasound of leg arteries or artery grafts	15	15	$82.00	$38.80
37229 Removal of plaque in artery of leg, initial vessel	14	12	$2325.00	$722.35
37225 Removal of plaque in arteries of leg	14	11	$1985.00	$441.21
93990 Ultrasound of dialysis access	13	13	$56.00	$24.37
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	12	11	$900.83	$161.97
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$85.00	$34.35
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	11	11	$181.00	$57.14

Medical Specialties & State Licenses

CMS Verified: 2022-02-24

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License OH 34-007576

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

279013100 (FL)

Hospital & Practice Group Affiliations

Southwest General Medical Group Inc

7255 Old Oak Blvd, Middleburg Heights, OH 441303329

Phone: 4408162786

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Ferdinand Plecha , MD

Surgery - Vascular Surgery

NPI 1366402968

Doctor of Medicine (M.D.)

Dr. Gregory Rogers , MD

Surgery - Vascular Surgery

NPI 1437110632

Doctor of Medicine (M.D.)

Mary Fitch , PA-C

Physician Assistant - Surgical

NPI 1558322735

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location February 24, 2022

Registered at 7255 OLD OAK BLVD STE C108, CLEVELAND, OH 441303329 (Tel: 4408162786)

📍

Updated Business Mailing Address November 24, 2020

Registered at 13207 RAVENNA RD, CHARDON, OH 440247032 (Tel: 4402856975)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2020

Surgery (License #34-007576 in OH)

✅

NPI Profile Active March 03, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2014

Registered at 1500 SE MAGNOLIA EXT, SUITE 203, OCALA, FL 344714463 (Tel: 3523511883)

📍

Updated Business Mailing Address March 03, 2014

Registered at 1500 SE MAGNOLIA EXT, SUITE 203, OCALA, FL 344714463 (Tel: 3523511883)

👤

Provider Name / Credentials Updated March 03, 2014

Recorded as MICHAEL BROWN, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2014

Surgery (License #OS10099 in FL)

🟢

Initial NPI Registration & Enumeration October 20, 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: 1811079379

Entity Type:

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

Enumeration Date: October 20, 2006

Last Update: February 24, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

13207 Ravenna Rd

Chardon, OH 440247032

Phone: 4402856975

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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