Provider Demographics
NPI:1114046869
Name:ARTHRITIS ASSOCIATES INC.
Entity Type:Organization
Organization Name:ARTHRITIS ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:KAMMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-953-8700
Mailing Address - Street 1:34500 CHARDON RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44094-8238
Mailing Address - Country:US
Mailing Address - Phone:440-953-8700
Mailing Address - Fax:440-953-8796
Practice Address - Street 1:34500 CHARDON RD
Practice Address - Street 2:SUITE 4
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-8238
Practice Address - Country:US
Practice Address - Phone:440-953-8700
Practice Address - Fax:440-953-8796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherEIN
OH=========OtherTIN
OH9925711Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER