Provider Demographics
NPI:1881744191
Name:WESTPARK OMT
Entity type:Organization
Organization Name:WESTPARK OMT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-663-5680
Mailing Address - Street 1:4367 ROCKY RIVER DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44135-2517
Mailing Address - Country:US
Mailing Address - Phone:216-252-8522
Mailing Address - Fax:216-252-8722
Practice Address - Street 1:4367 ROCKY RIVER DR
Practice Address - Street 2:SUITE 100
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44135-2517
Practice Address - Country:US
Practice Address - Phone:216-252-8522
Practice Address - Fax:216-252-8722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center