WILLOUGHBY MEDICAL OFFICES
NPI 1174681183
Clinic/Center in Willoughby, OH

NPI Status: Active since December 04, 2006

Contact Information

5105 SOM CENTER ROAD
WILLOUGHBY, OH
ZIP 44094
Phone: (216) 265-8844
Fax: (216) 265-8890

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  • Organization
  • Clinic/Center

About WILLOUGHBY MEDICAL OFFICES

This page provides the complete NPI Profile along with additional information for Willoughby Medical Offices, a provider established in Willoughby, Ohio operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1174681183 assigned on December 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Willoughby Medical Offices. The authorized official of this NPI record is Craig Faerber (Vp Cfo)

NPI
1174681183
Provider Legal Name
KAISER FOUNDATION HEALTH PLAN
Other Organization Name
WILLOUGHBY MEDICAL OFFICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5105 SOM CENTER ROAD WILLOUGHBY, OH 44094
Location Phone
(216) 265-8844
Location Fax
(216) 265-8890
Mailing Address
12301 SNOW ROAD PARMA, OH 44130
Mailing Phone
(216) 265-8844
Mailing Fax
(216) 265-8890
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2006
Last Update Date
07-19-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CRAIG FAERBER

Authorized Official Title
VP CFO
Authorized Official Phone
(216) 265-8844

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9911441MEDICARE ID-TYPE UNSPECIFIED (04)OH 
0211372MEDICAID (05)OH 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174681183
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441282116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 2 + 8 + 2 + 1 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1174681183 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003859273MR. THOMAS J SZAKAL PT
Individual
Physical Therapist5105 SOM CENTER ROAD
WILLOUGHBY, OH 44094
(440) 953-5792
1790872547DR. MONICA MARY URBAN M.D.
Individual
Internal Medicine5105 SOM CENTER ROAD
WILLOUGHBY, OH 44094
(216) 621-5600
1902975147 NITAYA YADMARK MD
Individual
Emergency Medicine5105 SOM CENTER ROAD
WILLOUGHBY, OH 44094
(440) 953-5786
1184724551DR. MAHBOOB ALI QUADERI M.D.
Individual
Internal Medicine5105 SOM CENTER ROAD
WILLOUGHBY, OH 44094
(216) 524-7377
1346335718MRS. KATHLEEN ANN WALSH N.P.
Individual
Nurse Practitioner5105 SOM CENTER ROAD
WILLOUGHBY, OH 44094
(216) 524-7377
1376702241DR. REBECCA ELIZABETH CROCKETT DO
Individual
Obstetrics & Gynecology5105 SOM CENTER ROAD SUITE 201
WILLOUGHBY, OH 44094
(440) 602-6710
1497182547 NICHOLAS JAMES ZIELINSKI PA-C
Individual
Physician Assistant5105 SOM CENTER ROAD SUITE 202
WILLOUGHBY, OH 44094
(440) 953-5760
1477949857 RICHARD STEIN M.D.
Individual
Surgery5105 SOM CENTER ROAD SUITE 107
WILLOUGHBY, OH 44094
(440) 953-5712
1447684592 ELISE D. LEONE CNP
Individual
Nurse Practitioner5105 SOM CENTER ROAD STE 202
WILLOUGHBY, OH 44094
(440) 953-5760
1104015213DR. HENRY EMIL VUCETIC MD
Individual
Anesthesiology (Pain Medicine)5105 SOM CENTER ROAD SUITE 202
WILLOUGHBY, OH 44094
(440) 953-5760
1831142140 PATRICK J MCINTYRE MD
Individual
Anesthesiology (Pain Medicine)5105 SOM CENTER ROAD SUITE 202
WILLOUGHBY, OH 44094
(440) 953-5760

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174681183, enumerated in the NPI registry as an "organization" on December 04, 2006

The provider is located at 5105 Som Center Road Willoughby, Oh 44094 and the phone number is (216) 265-8844

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.