Provider Demographics
NPI:1164524468
Name:REFLECTIONS BREAST HEALTH CENTER
Entity Type:Organization
Organization Name:REFLECTIONS BREAST HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-867-7274
Mailing Address - Street 1:PO BOX 73990
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-1494
Mailing Address - Country:US
Mailing Address - Phone:330-864-1571
Mailing Address - Fax:
Practice Address - Street 1:2603 W MARKET ST
Practice Address - Street 2:STE 200
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-4208
Practice Address - Country:US
Practice Address - Phone:330-864-1571
Practice Address - Fax:330-864-7613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000166632OtherANTHEM BC/BS
OHRE9920671Medicare ID - Type UnspecifiedMEDICARE