MARYMOUNT PRIMARY CARE SERVICES, INC.
NPI 1063606440
Family Medicine in Broadview Heights, OH

Active since August 29, 2007
2001 E ROYALTON RD, BROADVIEW HEIGHTS, OH 44147(440) 717-6100(440) 546-1382 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marymount Primary Care Services, Inc. NPPES

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

MARYMOUNT PRIMARY CARE SERVICES, INC. (NPI 1063606440) is a healthcare organization registered as a family medicine in Broadview Heights, Ohio and active in the NPI registry since August 2007. The organization lists Peter P Walchanowicz, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1063606440
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARYMOUNT PRIMARY CARE SERVICES, INC.
Location Address2001 E ROYALTON RDBroadview Heights, OH 44147-2811
Mailing Address2001 E Royalton RdBroadview Heights, OH 44147-2811 · (440) 717-6100 · Fax (440) 546-1382
Fax(440) 546-1382
Organization SubpartNo
Authorized OfficialPeter P WalchanowiczPractice Manager · (440) 543-8855
Enumeration DateAugust 29, 2007
Last NPPES UpdateMay 27, 2008
NPI 1063606440 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.
2001 E ROYALTON RD, Broadview Heights, OH 44147

Other Identifiers 4

Medicare PIN9265465OH
Medicare PINCB8190OH
Other000000564045OH · Anthem
Medicaid2082160OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

Durable Medical Equipment & Medical Supplies
2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
General Practice
2001 E ROYALTON RD, STE B
BROADVIEW HEIGHTS, OH 44147
Family Medicine
2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
Family Medicine
2001 E ROYALTON RD
BROADVIEW HTS, OH 44147
Nurse Practitioner (Family)
2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
General Practice
2001 E ROYALTON RD, STE D
BROADVIEW HEIGHTS, OH 44147
Emergency Medicine (Emergency Medical Services)
2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
Family Medicine
2001 E ROYALTON RD
BROADVIEW HTS, OH 44147

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 Marymount Primary Care Services, Inc.'s NPI number?

The NPI number for Marymount Primary Care Services, Inc. is 1063606440. It was assigned to this organization in the NPPES registry on August 29, 2007.

Where is Marymount Primary Care Services, Inc. located?

Marymount Primary Care Services, Inc. is located at 2001 E Royalton Rd, Broadview Heights, OH 44147. The listed phone number is (440) 717-6100.

What is Marymount Primary Care Services, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Marymount Primary Care Services, Inc. was last updated on May 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.