MARYMOUNT HOSPITAL, INC.
NPI 1720031131
Pathology - Anatomic Pathology & Clinical Pathology in Garfield Heights, OH
NPI Status: Active since May 18, 2006
Contact Information
12300 MCCRACKEN RD
GARFIELD HEIGHTS, OH
ZIP 44125
Phone: (216) 587-8686
Fax: (216) 587-8274
- Organization
- Pathology
- Anatomic Pathology & Clinical Pathology
- CLIA Number: 36D0688090
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About MARYMOUNT HOSPITAL, INC.
This page provides the complete NPI Profile along with additional information for Marymount Hospital, Inc., a provider established in Garfield Heights, Ohio operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1720031131 assigned on May 2006. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated August 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dennis Laraway (Executive Vp Chief Finance Officer)
- NPI
- 1720031131
- Provider Name
- MARYMOUNT HOSPITAL, INC.
- Entity Type
- Organization
- Location Address
- 12300 MCCRACKEN RD GARFIELD HEIGHTS, OH 44125
- Location Phone
- (216) 587-8686
- Location Fax
- (216) 587-8274
- Mailing Address
- 12300 MCCRACKEN RD GARFIELD HTS, OH 44125
- Mailing Phone
- (216) 587-8146
- Mailing Fax
- (216) 587-8274
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-18-2006
- Last Update Date
- 08-25-2025
- Code Navigator
Location Map
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
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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.
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 |
|---|---|---|---|
| 2141677 | MEDICAID (05) | OH |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D0688090
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. SUSAN E. PORTER
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Marymount Hospital, Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
| 1 | 7 | 2 | 0 | 0 | 3 | 1 | 1 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 0 | 3 | 2 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 0 + 3 + 2 + 1 + 6 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1720031131 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225027972 | DIANE CHERNIN M.D. Individual | Obstetrics & Gynecology | 12300 MCCRACKEN RD GARFIELD HTS, OH 44125 (216) 581-0500 |
| 1609851831 | DILIP K UJLA MD Individual | Family Medicine | 12300 MCCRACKEN RD GARFIELD HTS, OH 44125 (216) 581-0500 |
| 1023093242 | LEE A NIRO CNP Individual | Nurse Practitioner | 12300 MCCRACKEN RD GARFIELD HTS, OH 44125 (216) 581-0500 |
| 1871578096 | ANDREA K LOWERY CNP Individual | Nurse Practitioner | 12300 MCCRACKEN RD GARFIELD HTS, OH 44125 (216) 581-0500 |
| 1720063407 | KAREN J BRENNER CNP Individual | Nurse Practitioner | 12300 MCCRACKEN RD GARFIELD HTS, OH 44125 (216) 581-0500 |
| 1790762466 | LISA A KODEK CNP Individual | Nurse Practitioner | 12300 MCCRACKEN RD GARFIELD HTS, OH 44125 (216) 581-0500 |
| 1134107204 | ELLEN M IACOVONE CNP Individual | Nurse Practitioner | 12300 MCCRACKEN RD GARFIELD HTS, OH 44125 (216) 581-0500 |
| 1184695801 | DR. STEPHEN M SELKIRK MD Individual | Psychiatry & Neurology (Neurology) | 12300 MCCRACKEN RD GARFIELD HTS, OH 44125 (216) 581-0500 |
| 1467415794 | VIJAYKANT PATEL MD Individual | Emergency Medicine (Emergency Medical Services) | 12300 MCCRACKEN RD GARFIELD HEIGHTS, OH 44125 (216) 581-0500 |
| 1619930971 | BRADFORD BORDEN MD Individual | Emergency Medicine (Emergency Medical Services) | 12300 MCCRACKEN RD GARFIELD HEIGHTS, OH 44125 (216) 581-0500 |
| 1497718498 | KULDEEP SINGH MD Individual | Surgery | 12300 MCCRACKEN RD GARFIELD HEIGHTS, OH 44125 (216) 581-0500 |
| 1992760110 | YOLANDA GANCHORRE MD Individual | Psychiatry & Neurology (Psychiatry) | 12300 MCCRACKEN RD GARFIELD HEIGHTS, OH 44125 (216) 587-8350 |
| 1053360396 | SANJEEV S KARMARKAR M.D. Individual | Internal Medicine | 12300 MCCRACKEN RD GARFIELD HTS, OH 44125 (216) 581-0500 |
| 1003860396 | KAREEM ELDER M.D. Individual | Internal Medicine | 12300 MCCRACKEN RD GARFIELD HTS, OH 44125 (216) 581-0500 |
| 1164461026 | EMERGENCY CARE SPECIALISTS INC Organization | Emergency Medicine (Emergency Medical Services) | 12300 MCCRACKEN RD GARFIELD HEIGHTS, OH 44125 (216) 581-0500 |
| 1750321873 | TIMOTHY R SMITH CNP Individual | Nurse Practitioner | 12300 MCCRACKEN RD GARFIELD HTS, OH 44125 (216) 581-0500 |
| 1982644076 | CATHERINE M CERNY CNP Individual | Nurse Practitioner | 12300 MCCRACKEN RD GARFIELD HTS, OH 44125 (216) 581-0500 |
| 1265465488 | JUNG JIN EL-MALLAWANY MD Individual | Psychiatry & Neurology (Psychiatry) | 12300 MCCRACKEN RD GARFIELD HEIGHTS, OH 44125 (216) 587-8334 |
| 1922024603 | DANIEL E. JONES PH.D. Individual | Psychologist (Clinical) | 12300 MCCRACKEN RD GARFIELD HEIGHTS, OH 44125 (216) 587-8350 |
| 1396763231 | AMIR JASSANI PH.D. Individual | Psychologist (Clinical) | 12300 MCCRACKEN RD GARFIELD HEIGHTS, OH 44125 (216) 587-8350 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720031131, enumerated in the NPI registry as an "organization" on May 18, 2006
The provider is located at 12300 Mccracken Rd Garfield Heights, Oh 44125 and the phone number is (216) 587-8686
This medical organization specializes in Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology
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.
The provider's CLIA number is 36D0688090 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on May 18, 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].
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