Active NPI 1164428777 Individual Practitioner Male Practitioner

Dr. Nabil Azar , MD

Internal Medicine • Mayfield, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nabil Azar, MD is a certified Internal Medicine practicing in Mayfield, OH. With approximately 47 years of clinical experience since completing medical education in 1979, Dr. Azar delivers high-quality medical care to the local community at 730 SOM CENTER RD STE 190.

Dr. Azar is affiliated with University Primary Care Practices Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, blood test, lipids (cholesterol and triglycerides), automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

730 Som Center Rd Ste 190

Mayfield, OH 441432362

Telephone 4406469955

Fax 4406469929

Associated Practice Facility / Clinic

🏢 Drs. Sass, Freidman & Assoc. Facility NPI 1790782332

Medicare Profile & Education

Medical School

Other

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mayfield, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs Matches City Avg

City Avg: 47.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Mayfield, OH (5516 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

50.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Azar (47 Years) 47 Yrs

Mayfield Specialty Average (47.0 Years) 47.0 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	451	207	$187.00	$121.44
80061 Blood test, lipids (cholesterol and triglycerides)	267	186	$52.00	$12.95
81003 Automated urinalysis test	256	152	$17.00	$2.18
80053 Blood test, comprehensive group of blood chemicals	212	167	$43.00	$10.26
84443 Blood test, thyroid stimulating hormone (TSH)	179	159	$69.00	$16.38
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	159	139	$30.00	$7.52
99213 Established patient office or other outpatient visit, typically 15 minutes	153	89	$133.00	$85.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	99	99	$235.00	$124.12
G0008 Administration of influenza virus vaccine	92	91	$44.00	$30.39
83036 Hemoglobin A1C level	86	54	$40.00	$9.35
90662 Influenza vaccine split virus, preservative free	86	86	$67.00	$65.66
80048 Blood test, basic group of blood chemicals (calcium, total)	65	52	$30.00	$8.29
G0103 Prostate cancer screening; prostate specific antigen test (psa)	56	56	$45.00	$18.92
93000 Routine ekg using at least 12 leads including interpretation and report	45	44	$72.00	$13.37
82962 Blood glucose (sugar) test performed by hand-held instrument	45	26	$15.00	$3.15
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	20	19	$30.00	$7.77
99441 Telephone medical discussion with physician, 5-10 minutes	17	15	$85.00	$52.99
G0009 Administration of pneumococcal vaccine	15	15	$44.00	$30.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	12	$118.00	$50.65
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	15	$665.00	$291.47
82306 Vitamin d-3 level	12	12	$72.00	$29.01
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	11	11	$185.00	$127.17

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	413	207	$175.00	$123.30
80061 Blood test, lipids (cholesterol and triglycerides)	265	183	$52.00	$13.12
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	232	170	$30.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	199	157	$43.00	$10.35
84443 Blood test, thyroid stimulating hormone (TSH)	158	145	$69.00	$16.46
99213 Established patient office or other outpatient visit, typically 15 minutes	141	91	$125.89	$86.98
G0008 Administration of influenza virus vaccine	80	79	$44.04	$29.36
90662 Influenza vaccine split virus, preservative free	77	76	$67.00	$65.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	73	73	$203.00	$124.57
81003 Automated urinalysis test	66	52	$17.00	$2.20
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	62	13	$98.00	$72.17
80048 Blood test, basic group of blood chemicals (calcium, total)	61	53	$30.00	$8.29
83036 Hemoglobin A1C level	61	43	$40.00	$9.52
36415 Insertion of needle into vein for collection of blood sample	58	58	$18.00	$8.40
G0103 Prostate cancer screening; prostate specific antigen test (psa)	53	53	$46.42	$18.92
83721 Ldl cholesterol level	34	34	$30.00	$10.29
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	17	$118.00	$50.02
99441 Telephone medical discussion with physician, 5-10 minutes	14	14	$65.00	$53.46
82306 Vitamin d-3 level	14	12	$72.00	$29.01
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$72.00	$13.88
82962 Blood glucose (sugar) test performed by hand-held instrument	13	11	$15.00	$3.21

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	498	217	$165.04	$125.34
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	319	187	$30.00	$7.68
80061 Blood test, lipids (cholesterol and triglycerides)	296	185	$52.00	$13.23
83721 Ldl cholesterol level	296	185	$30.00	$10.37
80053 Blood test, comprehensive group of blood chemicals	253	174	$43.00	$10.43
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	139	22	$98.00	$67.22
84443 Blood test, thyroid stimulating hormone (TSH)	133	124	$69.00	$16.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$203.00	$127.83
99213 Established patient office or other outpatient visit, typically 15 minutes	105	77	$128.15	$88.89
81003 Automated urinalysis test	102	73	$17.00	$2.22
83036 Hemoglobin A1C level	89	52	$40.00	$9.59
G0008 Administration of influenza virus vaccine	79	79	$44.00	$27.96
90662 Influenza vaccine split virus, preservative free	78	78	$67.00	$65.65
80048 Blood test, basic group of blood chemicals (calcium, total)	62	52	$30.00	$8.38
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	52	25	$118.00	$51.50
G0103 Prostate cancer screening; prostate specific antigen test (psa)	29	29	$45.00	$19.11
84153 Psa (prostate specific antigen) measurement, total	26	24	$50.00	$18.14
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	25	18	$185.00	$125.78
93000 Routine ekg using at least 12 leads including interpretation and report	25	25	$72.00	$13.92
80076 Liver function blood test panel	16	16	$24.00	$8.16
99441 Telephone medical discussion with physician, 5-10 minutes	12	11	$65.00	$54.36

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	336	148	$157.00	$127.42
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	261	138	$30.00	$7.74
80061 Blood test, lipids (cholesterol and triglycerides)	254	141	$52.00	$13.34
83721 Ldl cholesterol level	251	141	$30.00	$10.46
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	237	42	$98.00	$67.94
80053 Blood test, comprehensive group of blood chemicals	137	88	$43.00	$10.48
99213 Established patient office or other outpatient visit, typically 15 minutes	133	75	$106.00	$89.87
84443 Blood test, thyroid stimulating hormone (TSH)	131	122	$69.00	$16.67
80048 Blood test, basic group of blood chemicals (calcium, total)	126	108	$30.00	$8.46
80076 Liver function blood test panel	97	93	$24.00	$8.17
83036 Hemoglobin A1C level	62	35	$40.00	$9.71
G0008 Administration of influenza virus vaccine	60	59	$44.00	$16.19
90662 Influenza vaccine split virus, preservative free	59	58	$67.00	$65.19
81003 Automated urinalysis test	57	40	$17.00	$2.25
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	56	56	$256.00	$163.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$203.00	$130.50
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	43	37	$185.00	$127.71
G0103 Prostate cancer screening; prostate specific antigen test (psa)	42	42	$45.00	$19.31
93000 Routine ekg using at least 12 leads including interpretation and report	28	26	$72.00	$14.45
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	18	$118.00	$51.60
36415 Insertion of needle into vein for collection of blood sample	22	21	$18.00	$3.00
82962 Blood glucose (sugar) test performed by hand-held instrument	18	11	$15.00	$3.28
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$100.00	$90.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	270	134	$18.00	$2.98
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	239	40	$98.00	$68.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	124	$151.98	$106.87
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	202	128	$30.00	$7.73
80061 Blood test, lipids (cholesterol and triglycerides)	197	123	$52.00	$13.32
83721 Ldl cholesterol level	195	122	$30.00	$10.44
99213 Established patient office or other outpatient visit, typically 15 minutes	186	113	$102.85	$73.43
80048 Blood test, basic group of blood chemicals (calcium, total)	163	115	$30.00	$8.42
84443 Blood test, thyroid stimulating hormone (TSH)	140	112	$69.00	$16.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	99	99	$256.00	$167.65
80076 Liver function blood test panel	84	74	$24.00	$8.17
81003 Automated urinalysis test	61	48	$17.00	$2.24
99442 Telephone medical discussion with physician, 11-20 minutes	56	47	$43.21	$42.00
G0008 Administration of influenza virus vaccine	50	50	$44.00	$16.06
90662 Influenza vaccine split virus, preservative free	49	49	$67.00	$60.86
80053 Blood test, comprehensive group of blood chemicals	45	40	$43.00	$10.49
83036 Hemoglobin A1C level	39	27	$40.00	$9.65
93000 Routine ekg using at least 12 leads including interpretation and report	29	28	$72.00	$16.57
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	23	22	$130.00	$90.42
99441 Telephone medical discussion with physician, 5-10 minutes	22	20	$30.45	$27.69
84153 Psa (prostate specific antigen) measurement, total	18	16	$50.00	$18.27
G0009 Administration of pneumococcal vaccine	17	17	$44.00	$16.01
G0103 Prostate cancer screening; prostate specific antigen test (psa)	13	13	$45.00	$19.31
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$152.00	$117.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	398	161	$18.00	$2.90
99213 Established patient office or other outpatient visit, typically 15 minutes	391	134	$100.00	$71.64
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	299	151	$30.00	$8.46
83721 Ldl cholesterol level	279	147	$31.65	$10.35
80061 Blood test, lipids (cholesterol and triglycerides)	279	147	$52.00	$14.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	239	49	$94.00	$67.52
80048 Blood test, basic group of blood chemicals (calcium, total)	221	107	$30.00	$9.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	134	$150.00	$104.77
84443 Blood test, thyroid stimulating hormone (TSH)	170	125	$69.00	$18.30
80053 Blood test, comprehensive group of blood chemicals	105	91	$43.00	$11.51
81003 Automated urinalysis test	79	62	$17.00	$2.44
G0008 Administration of influenza virus vaccine	69	69	$44.00	$15.75
90662 Influenza vaccine split virus, preservative free	68	68	$67.00	$54.81
83036 Hemoglobin A1C level	56	30	$40.00	$10.57
93000 Routine ekg using at least 12 leads including interpretation and report	41	41	$72.00	$16.38
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	33	31	$185.00	$128.18
84153 Psa (prostate specific antigen) measurement, total	29	27	$50.00	$20.03
G0009 Administration of pneumococcal vaccine	24	24	$44.00	$15.75
82962 Blood glucose (sugar) test performed by hand-held instrument	23	13	$15.00	$3.21
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	16	$118.00	$51.47
90670 Pneumococcal vaccine for injection into muscle	16	16	$319.00	$208.52
69210 Removal of impacted ear wax	16	14	$100.00	$46.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	470	172	$99.76	$66.72
36415 Insertion of needle into vein for collection of blood sample	355	164	$18.00	$2.85
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	284	88	$94.00	$65.34
80061 Blood test, lipids (cholesterol and triglycerides)	231	146	$52.00	$16.06
83721 Ldl cholesterol level	230	146	$33.00	$11.49
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	194	113	$30.00	$9.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	187	55	$115.00	$67.74
80048 Blood test, basic group of blood chemicals (calcium, total)	169	93	$30.00	$10.17
84443 Blood test, thyroid stimulating hormone (TSH)	152	123	$69.00	$20.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	90	$149.75	$98.29
80053 Blood test, comprehensive group of blood chemicals	105	91	$43.00	$12.66
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	84	76	$185.00	$123.50
81003 Automated urinalysis test	57	46	$17.00	$2.71
G0008 Administration of influenza virus vaccine	55	55	$44.00	$18.95
90662 Influenza vaccine split virus, preservative free	53	53	$67.00	$51.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	46	13	$94.00	$65.40
83036 Hemoglobin A1C level	45	28	$40.00	$11.23
93000 Routine ekg using at least 12 leads including interpretation and report	34	34	$72.00	$15.75
84153 Psa (prostate specific antigen) measurement, total	30	28	$50.00	$22.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	20	$210.00	$113.09
G0009 Administration of pneumococcal vaccine	19	19	$44.00	$19.30
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	12	$118.00	$49.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$199.41	$129.77
99238 Hospital discharge day management, 30 minutes or less	16	11	$125.00	$60.58
90670 Pneumococcal vaccine for injection into muscle	16	16	$319.00	$199.48
82962 Blood glucose (sugar) test performed by hand-held instrument	13	11	$15.00	$2.72
69210 Removal of impacted ear wax	13	13	$98.46	$45.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	551	189	$95.00	$69.28
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	413	125	$92.80	$66.83
36415 Insertion of needle into vein for collection of blood sample	335	173	$18.00	$2.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	266	148	$30.00	$10.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	240	72	$115.00	$70.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	102	$140.14	$102.05
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	128	115	$166.09	$125.66
G0008 Administration of influenza virus vaccine	84	84	$43.81	$23.48
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	83	83	$27.00	$11.66
81003 Automated urinalysis test	77	58	$17.00	$2.98
80061 Blood test, lipids (cholesterol and triglycerides)	70	70	$52.00	$15.91
83721 Ldl cholesterol level	68	68	$33.00	$12.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	53	$210.00	$133.65
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	61	18	$80.00	$58.63
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	60	22	$92.80	$66.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	33	$85.00	$38.36
80048 Blood test, basic group of blood chemicals (calcium, total)	45	41	$30.00	$8.92
93000 Routine ekg using at least 12 leads including interpretation and report	44	43	$72.00	$16.15
83036 Hemoglobin A1C level	35	29	$39.14	$12.68
85610 Blood test, clotting time	27	11	$20.00	$5.28
99238 Hospital discharge day management, 30 minutes or less	27	11	$125.00	$70.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	24	21	$120.00	$88.41
84443 Blood test, thyroid stimulating hormone (TSH)	22	18	$69.00	$22.59
G0009 Administration of pneumococcal vaccine	22	22	$43.64	$23.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$190.48	$139.32
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	12	$118.00	$51.41
90670 Pneumococcal vaccine for injection into muscle	15	15	$310.87	$187.28
82962 Blood glucose (sugar) test performed by hand-held instrument	13	12	$15.00	$3.15
69210 Removal of impacted ear wax	11	11	$87.27	$47.03

Medical Specialties & State Licenses

CMS Verified: 2020-12-17

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.051962

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License OH 051962

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0613705 (OH)

Commercial Insurance / Payer ID Metlife

0402217 (OH)

Commercial Insurance / Payer ID Caresource

341040606028 (OH)

Commercial Insurance / Payer ID Apex

R51962 (OH)

Commercial Insurance / Payer ID United Mine Workers

0996955 (OH)

Commercial Insurance / Payer ID Qualchoice

55230 (OH)

Commercial Insurance / Payer ID Tricare

3410406060 (OH)

Commercial Insurance / Payer ID Kaiser

108900 (OH)

Commercial Insurance / Payer ID Tricare

341040606003 (OH)

Commercial Insurance / Payer ID Anthem

000000126361 (OH)

Hospital & Practice Group Affiliations

University Primary Care Practices Inc

730 Som Ctr Rd, Mayfield Village, OH 441432362

Phone: 4406469955

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 17, 2020

Registered at 730 SOM CENTER RD STE 190, MAYFIELD, OH 441432362 (Tel: 4406469955)

📍

Updated Business Mailing Address December 17, 2020

Registered at 730 SOM CENTER RD STE 190, MAYFIELD, OH 441432362 (Tel: 4406469955)

✅

NPI Profile Active September 25, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 25, 2014

Registered at 14055 CEDAR RD, SOUTH EUCLID, OH 441183337 (Tel: 2163710181)

📍

Updated Business Mailing Address September 25, 2014

Registered at PO BOX 594, CLEVELAND, OH 441070594 (Tel: 2163710181)

👤

Provider Name / Credentials Updated September 25, 2014

Recorded as NABIL AZAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2014

Internal Medicine (License #35.051962 in OH)

🟢

Initial NPI Registration & Enumeration June 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1164428777

Entity Type:

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

Enumeration Date: June 28, 2005

Last Update: December 17, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

730 Som Center Rd Ste 190

Mayfield, OH 441432362

Phone: 4406469955

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.