Provider Demographics
NPI:1558648964
Name:JOSEPH J. KARIMPIL MD INC.
Entity Type:Organization
Organization Name:JOSEPH J. KARIMPIL MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:KARIMPIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-481-0073
Mailing Address - Street 1:763 E 200TH ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44119-2504
Mailing Address - Country:US
Mailing Address - Phone:216-481-0073
Mailing Address - Fax:216-481-0075
Practice Address - Street 1:763 E 200TH ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44119-2504
Practice Address - Country:US
Practice Address - Phone:216-481-0073
Practice Address - Fax:216-481-0075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35044630K261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0462655Medicaid
OHA79987Medicare UPIN