Active NPI 1235147604 Individual Practitioner Male Practitioner

Dr. Mehrun Kadkhodai Elyaderani , MD

Orthopaedic Surgery • Lorain, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mehrun Elyaderani, MD is a certified Orthopaedic Surgery practicing in Lorain, OH. With approximately 34 years of clinical experience since graduating from Creighton University School Of Medicine in 1992, Dr. Elyaderani delivers high-quality medical care to the local community at 3600 KOLBE RD.

Dr. Elyaderani is affiliated with Orthopaedic Associates, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3600 Kolbe Rd

Lorain, OH 440531654

Telephone 4402224970

Fax 4402224971

Associated Practice Facility / Clinic

🏢 Erie Coast Chest Physicians, Inc Facility NPI 1316930811

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Lorain, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +16.4 yrs vs City Avg

City Avg: 17.6 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

9 Specialists

Practicing in Lorain, OH (984 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Elyaderani (34 Years) 34 Yrs

Lorain Specialty Average (17.6 Years) 17.6 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	696	94	$5.00	$0.98
99213 Established patient office or other outpatient visit, typically 15 minutes	314	193	$130.00	$84.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	134	$185.00	$120.09
20610 Aspiration and/or injection of fluid from large joint	146	87	$132.33	$62.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$285.00	$156.70
26145 Repair of tendon, finger and/or hand	87	32	$1200.00	$342.79
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	79	60	$11.00	$7.03
20605 Aspiration and/or injection of medium joint or joint capsule	56	39	$105.18	$52.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$185.00	$105.13
73562 X-ray of knee, 3 views	48	39	$94.56	$39.53
73100 X-ray of wrist, 2 views	42	21	$84.00	$30.94
73130 X-ray of hand, minimum of 3 views	37	30	$89.73	$34.18
26055 Incision of tendon covering	31	25	$788.00	$192.39
64721 Release and/or relocation of hand nerve	30	27	$945.00	$377.68
73110 X-ray of wrist, minimum of 3 views	30	28	$89.00	$36.62
73030 X-ray of shoulder, minimum of 2 views	29	23	$84.86	$31.37
20550 Injection into tendon or ligament	28	27	$95.00	$54.46
73140 X-ray of finger, minimum of 2 views	23	11	$78.87	$29.18
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	23	21	$37.00	$22.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$280.00	$164.05
73721 Mri scan of leg joint without contrast	18	18	$850.00	$125.71
73502 X-ray of hip, 2-3 views	17	12	$83.88	$37.53
72148 MRI scan of lower spinal canal	14	14	$950.00	$113.63
25600 Closed treatment of broken forearm bones	13	13	$726.15	$320.61
29075 Application of elbow to finger cast	12	12	$200.00	$83.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	684	110	$5.00	$1.05
99213 Established patient office or other outpatient visit, typically 15 minutes	287	208	$130.08	$85.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	150	$185.11	$121.10
20610 Aspiration and/or injection of fluid from large joint	156	106	$133.42	$63.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$282.95	$159.29
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	102	68	$11.10	$6.31
26145 Repair of tendon, finger and/or hand	78	31	$1200.00	$329.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$184.74	$106.44
73100 X-ray of wrist, 2 views	60	25	$83.02	$31.20
20605 Aspiration and/or injection of medium joint or joint capsule	48	37	$111.23	$55.00
20550 Injection into tendon or ligament	48	40	$98.96	$53.05
64721 Release and/or relocation of hand nerve	44	41	$897.55	$378.58
73562 X-ray of knee, 3 views	41	35	$100.51	$42.60
73030 X-ray of shoulder, minimum of 2 views	40	33	$85.88	$32.96
73130 X-ray of hand, minimum of 3 views	38	24	$89.00	$34.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$280.00	$165.28
73110 X-ray of wrist, minimum of 3 views	27	25	$93.30	$39.80
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	23	22	$37.00	$22.77
73502 X-ray of hip, 2-3 views	22	15	$77.14	$30.04
73721 Mri scan of leg joint without contrast	19	19	$850.00	$133.51
29075 Application of elbow to finger cast	17	16	$200.00	$83.70
26055 Incision of tendon covering	15	13	$788.00	$225.18
Q4006 Cast supplies, long arm cast, adult (11 years +), fiberglass	15	14	$39.00	$34.16
72148 MRI scan of lower spinal canal	13	13	$950.00	$117.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	564	91	$5.20	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	294	223	$128.53	$87.30
20610 Aspiration and/or injection of fluid from large joint	145	96	$145.72	$66.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	130	$185.79	$123.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$271.45	$161.99
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	96	70	$11.31	$6.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$183.93	$108.83
64721 Release and/or relocation of hand nerve	55	48	$877.33	$395.32
20550 Injection into tendon or ligament	54	45	$96.76	$55.51
73502 X-ray of hip, 2-3 views	46	29	$83.33	$37.94
20605 Aspiration and/or injection of medium joint or joint capsule	43	37	$107.37	$54.46
73562 X-ray of knee, 3 views	42	38	$96.12	$41.12
73100 X-ray of wrist, 2 views	32	14	$84.00	$31.47
26145 Repair of tendon, finger and/or hand	30	12	$1200.00	$338.55
73130 X-ray of hand, minimum of 3 views	30	17	$89.00	$34.84
J1040 Injection, methylprednisolone acetate, 80 mg	27	18	$25.26	$10.91
73030 X-ray of shoulder, minimum of 2 views	26	20	$79.00	$31.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	25	$130.00	$69.07
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$178.45	$98.11
73721 Mri scan of leg joint without contrast	20	20	$850.00	$137.71
26055 Incision of tendon covering	19	16	$714.84	$239.28
72148 MRI scan of lower spinal canal	16	16	$950.00	$122.06
73110 X-ray of wrist, minimum of 3 views	15	13	$89.00	$38.78
73221 Mri scan of arm joint without contrast	13	12	$850.00	$132.85
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$2660.00	$1181.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	229	185	$125.94	$89.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	140	29	$5.20	$1.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	126	$185.34	$125.18
20610 Aspiration and/or injection of fluid from large joint	111	71	$150.43	$70.38
J1040 Injection, methylprednisolone acetate, 80 mg	104	63	$17.50	$10.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$182.62	$108.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$270.35	$165.50
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	70	63	$11.36	$7.03
20550 Injection into tendon or ligament	53	50	$95.00	$55.29
73100 X-ray of wrist, 2 views	40	19	$81.05	$30.46
64721 Release and/or relocation of hand nerve	36	31	$898.92	$378.39
26055 Incision of tendon covering	34	27	$763.47	$221.02
73030 X-ray of shoulder, minimum of 2 views	31	18	$79.90	$30.97
73130 X-ray of hand, minimum of 3 views	31	24	$91.87	$35.62
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$164.21	$100.20
73110 X-ray of wrist, minimum of 3 views	28	19	$89.00	$37.29
26145 Repair of tendon, finger and/or hand	28	14	$1148.71	$377.16
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	26	23	$37.00	$20.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$255.91	$178.06
20605 Aspiration and/or injection of medium joint or joint capsule	23	21	$108.22	$56.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	21	$130.00	$70.72
73562 X-ray of knee, 3 views	20	19	$103.70	$44.61
29075 Application of elbow to finger cast	20	17	$200.00	$84.51
Q4006 Cast supplies, long arm cast, adult (11 years +), fiberglass	19	16	$42.58	$30.60
73721 Mri scan of leg joint without contrast	17	17	$850.00	$152.05
73502 X-ray of hip, 2-3 views	16	12	$78.13	$31.77
26116 Removal of growth of muscle of hand or finger, less than 1.5 cm	13	12	$1063.62	$464.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	235	178	$123.50	$72.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	119	$182.80	$105.05
J1040 Injection, methylprednisolone acetate, 80 mg	127	75	$17.42	$11.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$178.44	$104.24
20610 Aspiration and/or injection of fluid from large joint	106	65	$159.68	$69.92
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	67	57	$11.52	$7.10
73100 X-ray of wrist, 2 views	45	19	$83.24	$28.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$269.40	$159.42
20605 Aspiration and/or injection of medium joint or joint capsule	44	36	$101.48	$52.54
26145 Repair of tendon, finger and/or hand	35	13	$1095.14	$302.46
73502 X-ray of hip, 2-3 views	34	24	$77.91	$30.76
64721 Release and/or relocation of hand nerve	31	24	$921.29	$399.21
20550 Injection into tendon or ligament	31	30	$98.06	$55.32
73562 X-ray of knee, 3 views	23	21	$82.65	$34.74
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	22	18	$37.00	$20.12
26055 Incision of tendon covering	21	16	$748.29	$216.42
73030 X-ray of shoulder, minimum of 2 views	21	14	$86.38	$32.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	18	$130.00	$72.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	18	$185.00	$103.88
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$2808.38	$1119.16
73110 X-ray of wrist, minimum of 3 views	16	14	$85.13	$34.99
73130 X-ray of hand, minimum of 3 views	15	14	$79.00	$29.96
29075 Application of elbow to finger cast	14	12	$196.07	$83.56
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$174.33	$102.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	214	145	$125.00	$71.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	132	$185.00	$105.73
J1040 Injection, methylprednisolone acetate, 80 mg	128	69	$16.16	$12.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$184.55	$104.49
20610 Aspiration and/or injection of fluid from large joint	107	66	$154.15	$67.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	46	$185.00	$103.05
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	45	35	$11.00	$6.79
73100 X-ray of wrist, 2 views	40	16	$82.30	$29.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$283.89	$157.05
64721 Release and/or relocation of hand nerve	34	31	$945.00	$386.89
73502 X-ray of hip, 2-3 views	32	19	$77.22	$28.70
20550 Injection into tendon or ligament	29	26	$95.00	$52.34
20605 Aspiration and/or injection of medium joint or joint capsule	28	20	$98.39	$50.68
73130 X-ray of hand, minimum of 3 views	27	21	$90.00	$31.90
73030 X-ray of shoulder, minimum of 2 views	22	17	$96.59	$32.98
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	20	16	$37.00	$19.72
73562 X-ray of knee, 3 views	19	19	$126.47	$50.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	19	$130.00	$72.07
26055 Incision of tendon covering	17	13	$788.00	$233.21
73110 X-ray of wrist, minimum of 3 views	14	12	$86.50	$33.34
Q4006 Cast supplies, long arm cast, adult (11 years +), fiberglass	14	11	$39.00	$29.58
73721 Mri scan of leg joint without contrast	11	11	$850.00	$143.37
73221 Mri scan of arm joint without contrast	11	11	$850.00	$152.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	127	$124.76	$70.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	140	$184.32	$100.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$183.61	$103.34
J1040 Injection, methylprednisolone acetate, 80 mg	113	67	$16.14	$12.98
20610 Aspiration and/or injection of fluid from large joint	94	59	$149.36	$65.81
73100 X-ray of wrist, 2 views	58	28	$81.97	$28.75
73030 X-ray of shoulder, minimum of 2 views	49	25	$86.73	$28.51
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	48	39	$11.00	$7.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	36	$185.00	$102.14
20550 Injection into tendon or ligament	36	33	$94.86	$50.86
73502 X-ray of hip, 2-3 views	34	21	$73.65	$24.12
26440 Removal of scar tissue to release tendon of palm or finger	33	14	$1350.00	$383.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$283.83	$154.59
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	29	25	$37.00	$18.75
73562 X-ray of knee, 3 views	27	24	$90.00	$33.81
64721 Release and/or relocation of hand nerve	24	21	$945.00	$364.24
20605 Aspiration and/or injection of medium joint or joint capsule	23	17	$107.39	$52.23
29075 Application of elbow to finger cast	23	21	$200.00	$80.84
26055 Incision of tendon covering	21	17	$788.00	$228.75
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$178.26	$99.46
73130 X-ray of hand, minimum of 3 views	19	17	$103.05	$34.58
73140 X-ray of finger, minimum of 2 views	18	12	$84.00	$30.08
73721 Mri scan of leg joint without contrast	14	14	$850.00	$156.20
Q4006 Cast supplies, long arm cast, adult (11 years +), fiberglass	13	12	$39.00	$28.91
73110 X-ray of wrist, minimum of 3 views	13	11	$89.00	$29.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	115	$116.00	$64.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$160.00	$98.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	106	$160.00	$95.60
J1040 Injection, methylprednisolone acetate, 80 mg	104	62	$16.00	$10.71
20610 Aspiration and/or injection of fluid from large joint	84	57	$148.57	$60.89
73100 X-ray of wrist, 2 views	52	23	$88.67	$27.21
73502 X-ray of hip, 2-3 views	50	32	$75.66	$24.64
99221 Initial hospital inpatient care per day, typically 30 minutes	50	50	$147.00	$94.06
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	27	22	$11.00	$7.33
73030 X-ray of shoulder, minimum of 2 views	26	19	$73.62	$22.98
73562 X-ray of knee, 3 views	25	22	$97.20	$33.02
64721 Release and/or relocation of hand nerve	23	22	$945.00	$285.63
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	22	18	$37.00	$19.08
73140 X-ray of finger, minimum of 2 views	18	11	$80.72	$26.75
73130 X-ray of hand, minimum of 3 views	18	15	$93.94	$28.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	16	$158.00	$96.90
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$3150.00	$1151.35
20550 Injection into tendon or ligament	15	14	$102.00	$51.83
20605 Aspiration and/or injection of medium joint or joint capsule	14	11	$101.79	$47.79
29075 Application of elbow to finger cast	13	12	$215.38	$81.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$160.00	$71.05

Medical Specialties & State Licenses

CMS Verified: 2026-05-29

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35.067960

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2175051 (OH)

Hospital & Practice Group Affiliations

Orthopaedic Associates, Inc.

24723 Detroit Rd, Westlake, OH 441452526

Phone: 4408921440

Secondary Practice Locations

1605 State Rd Ste 8

Vermilion, OH 440899141

Phone: 4402224970

224 W Lorain St Ste 100

Oberlin, OH 440741087

Phone: 4402224970

Practice Associates & Co-Workers

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

8 Associated Practitioners

Daniel Basinski , PA

Physician Assistant

NPI 1417997198

Physician Assistant

Rachelle Metz

Orthopaedic Surgery

NPI 1538540844

Dr. Steven Cotman , MD

Orthopaedic Surgery

NPI 1568881332

Doctor of Medicine (M.D.)

Nathan Schuerger , MSHS, PA-C

Physician Assistant

NPI 1679039788

MSHS, Physician Assistant (Certified)

Dr. Venkat Boddapati , MD

Orthopaedic Surgery

NPI 1730676255

Doctor of Medicine (M.D.)

Dr. Thomas Emmer , MD

Orthopaedic Surgery

NPI 1881953149

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location May 29, 2026

Registered at 3600 KOLBE RD, LORAIN, OH 440531654 (Tel: 4402224970)

📍

Updated Business Mailing Address May 29, 2026

Registered at 3600 KOLBE RD STE 100, LORAIN, OH 440531652

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2026

Orthopaedic Surgery (License #35.067960 in OH)

✅

NPI Profile Active November 26, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 26, 2007

Registered at 24723 DETROIT RD, WESTLAKE, OH 441452526 (Tel: 4408921440)

📍

Updated Business Mailing Address November 26, 2007

Registered at 24723 DETROIT RD, WESTLAKE, OH 441452526 (Tel: 4408921440)

👤

Provider Name / Credentials Updated November 26, 2007

Recorded as MEHRUN ELYADERANI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2007

Orthopaedic Surgery (License #35-06-7960-E in OH)

🟢

Initial NPI Registration & Enumeration August 03, 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: 1235147604

Entity Type:

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

Enumeration Date: August 03, 2006

Last Update: May 29, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3600 Kolbe Rd Ste 100

Lorain, OH 440531652

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.