BROADVIEW HEIGHTS FAMILY MEDICINE, INC
NPI 1063495224
Family Medicine in Broadview Hts, OH

Q: What is Broadview Heights Family Medicine, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 22, 2005CLIA 36D0952647 · Microscopy

8075 TOWN CENTRE DR STE E, BROADVIEW HTS, OH 44147(440) 717-6100(440) 546-1382 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Broadview Heights Family Medicine, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADVIEW HEIGHTS FAMILY MEDICINE, INC (NPI 1063495224) is a healthcare organization registered as a family medicine in Broadview Hts, Ohio and active in the NPI registry since November 2005. The organization holds a CLIA Microscopy certificate valid through October 18, 2026 and lists Mark A Lang, Owner, as its authorized official.

NPPES Registry Identity

NPI1063495224

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBROADVIEW HEIGHTS FAMILY MEDICINE, INC

Location Address8075 TOWN CENTRE DR STE EBroadview Hts, OH 44147-4011

Mailing Address2001 E Royalton RdBroadview Hts, OH 44147-2811 · (440) 717-6100 · Fax (440) 546-1382

Phone(440) 717-6100

Fax(440) 546-1382

Organization SubpartNo

Authorized OfficialMark A LangOwner · (440) 717-6100

Enumeration DateNovember 22, 2005

Last NPPES UpdateSeptember 24, 2025

NPPES CertifiedSeptember 24, 2025

✔ NPI 1063495224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8075 TOWN CENTRE DR STE E, Broadview Hts, OH 44147

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Other Identifiers 1

Medicaid2234764OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0952647

Broadview Heights Family Medicine, Inc · Broadview Heights, OH

Active · expires Oct 18, 2026

CLIA Number36D0952647

Laboratory TypePhysician Office

Certificate Effective DateOctober 19, 2024

Certificate Expiration DateOctober 18, 2026

Laboratory DirectorMichelle Mackey-Sawyer

Laboratory Phone(440) 717-6100

Laboratory LocationBroadview Heights Family Medicine, Inc8075 Town Centre Dr., Suite E, Broadview Heights, OH 44147

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW CARL ANDRESEN MD

Family Medicine

8075 TOWN CENTRE DR STE E
BROADVIEW HEIGHTS, OH 44147

Cuyahoga County (440) 717-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadview Heights Family Medicine, Inc's NPI number?

The NPI number for Broadview Heights Family Medicine, Inc is 1063495224. It was assigned to this organization in the NPPES registry on November 22, 2005.

Where is Broadview Heights Family Medicine, Inc located?

Broadview Heights Family Medicine, Inc is located at 8075 Town Centre Dr Ste E, Broadview Hts, OH 44147. The listed phone number is (440) 717-6100.

What is Broadview Heights Family Medicine, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Broadview Heights Family Medicine, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0952647) is associated with this NPI, valid through October 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Broadview Heights Family Medicine, Inc was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.