Provider Demographics
NPI:1225318280
Name:OSTEOMEDII
Entity Type:Organization
Organization Name:OSTEOMEDII
Other - Org Name:TENPENNY INTERGRATIVE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:TENPENNY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:440-239-3438
Mailing Address - Street 1:7380 ENGLE RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3429
Mailing Address - Country:US
Mailing Address - Phone:440-239-3438
Mailing Address - Fax:440-239-3440
Practice Address - Street 1:7380 ENGLE RD
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3429
Practice Address - Country:US
Practice Address - Phone:440-239-3438
Practice Address - Fax:440-239-3440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3210111N00000X
OH35.090624207V00000X
OH34.003789208D00000X
OH50.001229208D00000X
OH06776208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty