Organization · Type 2 NPI

The Cleveland Clinic Foundation

General Practice Physician · Chardon, OH

NPI number 1063341949 Active

Practice location

425 Water St, Ste 301
Chardon, OH 44024-1236

Mailing address

6801 Brecksville Rd, Ste 20 Attn: Dpc RK2-7
Indepedence, OH 44131-5062

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

2 other providers at this address

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About NPI 1063341949

The Cleveland Clinic Foundation's National Provider Identifier is 1063341949, issued on May 16, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chardon, OH. The record was last updated on May 16, 2026.