Organization · Type 2 NPI

The Cleveland Clinic Foundation

General Practice Physician · Warrensville Heights, OH

NPI number 1629901046 Active

Practice location

4200 Warrensville Center Rd, Ste 215
Warrensville Heights, OH 44122-7051

Mailing address

6801 Brecksville Rd, Ste 20 Attn: Dpc RK2-7
Independence, 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.

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About NPI 1629901046

The Cleveland Clinic Foundation's National Provider Identifier is 1629901046, issued on Jun 5, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Warrensville Heights, OH. The record was last updated on Jun 5, 2026.