Organization · Type 2 NPI

The Cleveland Clinic Foundation

General Practice Physician · Medina, OH

NPI number 1639004286 Active

Practice location

970 E Washington St, Ste 4B
Medina, OH 44256-2181

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 1639004286

The Cleveland Clinic Foundation's National Provider Identifier is 1639004286, issued on Jun 16, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Medina, OH. The record was last updated on Jun 16, 2026.