Provider Demographics
NPI:1053415612
Name:OHIO CHEST PHYSICIANS LTD
Entity type:Organization
Organization Name:OHIO CHEST PHYSICIANS LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-267-5139
Mailing Address - Street 1:PO BOX 932085
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44194-0007
Mailing Address - Country:US
Mailing Address - Phone:330-400-5437
Mailing Address - Fax:330-546-7758
Practice Address - Street 1:15805 PURITAS AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44135-2611
Practice Address - Country:US
Practice Address - Phone:216-267-5933
Practice Address - Fax:216-267-5133
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OHIO CHEST PHYSICIANS LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-12
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCD4623OtherRAILROAD MEDICARE
OHCD4625OtherRAILROAD MEDICARE
OHCD6683OtherRAILROAD MEDICARE
OH2063949Medicaid
OHDB6758OtherRAILROAD MEDICARE
OHCD4624OtherRAILROAD MEDICARE
OHCD4624OtherRAILROAD MEDICARE