Provider Demographics
NPI:1437159829
Name:CUYAHOGA VALLEY SPINE & ARTHRITIS CENTER, INC.
Entity Type:Organization
Organization Name:CUYAHOGA VALLEY SPINE & ARTHRITIS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SCHNELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-846-6260
Mailing Address - Street 1:PO BOX 41220
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-0220
Mailing Address - Country:US
Mailing Address - Phone:440-846-6260
Mailing Address - Fax:440-846-1966
Practice Address - Street 1:14755 PEARL RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-5026
Practice Address - Country:US
Practice Address - Phone:440-846-6260
Practice Address - Fax:440-846-1966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDG9707OtherRR MEDICARE
OH0867610Medicaid
OH0867610Medicaid
OHCU0704775Medicare PIN