Green Road Pediatrics, Inc.

LBN: Green Road Pediatrics, Inc.
Green Road Pediatrics, Inc. is an health care organization with primary practice located at 1611 S Green Rd Suite 035, South Euclid OH 44121-4128. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Green Road Pediatrics, Inc. can be contacted via phone (216) 382-3800, or through Leslie, James T. via phone (216) 382-3800.

Contact Information

Primary practice address
1611 S Green Rd Suite 035 South Euclid OH 44121-4128
Phone: (216) 382-3800
Fax: (216) 381-5198
Website:
Map and Directions
Authorized official contact:
Name: Leslie, James T. Doctor of Medicine (MD)
Phone: (216) 382-3800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1396822847
LBN Legal business name Green Road Pediatrics, Inc.
DBA Doing business as
Authorized official Leslie, James T. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396822847 NPPES
Ohio MEDICAID 2129637

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