Provider Demographics
NPI:1467509893
Name:PARTNERS IN NEPHROLOGY CARE LTD.
Entity Type:Organization
Organization Name:PARTNERS IN NEPHROLOGY CARE LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:L
Authorized Official - Last Name:WINTERICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-295-7003
Mailing Address - Street 1:18720 CHAGRIN BLVD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4855
Mailing Address - Country:US
Mailing Address - Phone:216-295-7003
Mailing Address - Fax:216-295-7014
Practice Address - Street 1:18720 CHAGRIN BLVD
Practice Address - Street 2:
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-4855
Practice Address - Country:US
Practice Address - Phone:216-295-7003
Practice Address - Fax:216-295-7014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2474442Medicaid
PA9341411Medicare ID - Type Unspecified