SOUTHWEST GENERAL MEDICAL GROUP, INC.
NPI 1104975895
Family Medicine in Strongsville, OH

NPI Status: Active since January 10, 2007

Contact Information

18181 PEARL RD
B202
STRONGSVILLE, OH
ZIP 44136
Phone: (440) 816-4965

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 36D1037347
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 02-22-2027

About SOUTHWEST GENERAL MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Southwest General Medical Group, Inc., a primary care provider established in Strongsville, Ohio operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1104975895 assigned on January 2007. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Heather Wagner (Executive Director)

NPI
1104975895
Provider Name
SOUTHWEST GENERAL MEDICAL GROUP, INC.
Entity Type
Organization
Location Address
18181 PEARL RD B202 STRONGSVILLE, OH 44136
Location Phone
(440) 816-4965
Mailing Address
PO BOX 638269 CINCINNATI, OH 45263
Mailing Phone
(440) 816-4965
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2007
Last Update Date
02-28-2019
Code Navigator

A primary care provider (PCP) like Southwest General Medical Group, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Bronze 10 - HMO
  • Bronze 8 - HMO
  • Bronze 9 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HEATHER WAGNER

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(440) 816-4906

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2238199MEDICAID (05)OH 
CG4860OTHER (01)OHRAILROAD MEDICARE
2238144MEDICAID (05)OH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D1037347
Facility Type
Assisted Living Facility
Certificate Effective Date
February 23, 2025
Certificate Expiration Date
February 22, 2027
Laboratory Director
ALLISON PADELFORD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southwest General Medical Group, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SOUTHWEST GENERAL MEDICAL GROUP, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104975895
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210418710818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 8 + 7 + 1 + 0 + 8 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1104975895 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

DR. FRANK E. VARGO D.P.M.

Podiatrist

(Foot Surgery)

18181 PEARL RD
SUITE B-200
STRONGSVILLE, OH
ZIP 44136

(440) 816-4999

CYNTHIA ZELIS MD

Family Medicine

18181 PEARL RD
A206
STRONGSVILLE, OH
ZIP 44136

(440) 816-4980

DR. JOAN O ROTHENBERG MD

Emergency Medicine

18181 PEARL RD
STRONGSVILLE, OH
ZIP 44136

(440) 816-6414

UNIVERSITY HOSPITALS MEDICAL GROUP, INC.

Dermatology

18181 PEARL RD
SUITE A102
STRONGSVILLE, OH
ZIP 44136

(440) 816-4925

STRONGSVILLE PODIATRY LLC

Podiatrist

(Foot & Ankle Surgery)

18181 PEARL RD
B-200
STRONGSVILLE, OH
ZIP 44136

(440) 816-4999

UNIVERSITY PRIMARY CARE PRACTICES, INC

Clinic/Center

(Urgent Care)

18181 PEARL RD
STRONGSVILLE, OH
ZIP 44136

(216) 844-1000

SOUTHWEST GENERAL MEDICAL GROUP, INC.

Family Medicine

18181 PEARL RD
A206
STRONGSVILLE, OH
ZIP 44136

(440) 816-4980

SOUTHWEST GENERAL MEDICAL GROUP, INC.

Obstetrics & Gynecology

18181 PEARL RD
B206
STRONGSVILLE, OH
ZIP 44136

(440) 816-4930

KRISTEN A BROWN DPT

Physical Therapist

18181 PEARL RD
STRONGSVILLE, OH
ZIP 44136

(440) 230-1133

JUDITH KUCZEK WATERS MD

Family Medicine

18181 PEARL RD
B202
STRONGSVILLE, OH
ZIP 44136

(440) 816-4960

CATHERINE A WAGNER CPNP

Nurse Practitioner

(Pediatrics)

18181 PEARL RD
STRONGSVILLE, OH
ZIP 44136

(440) 816-4950

JOHANNA R O'NEILL MD

Obstetrics & Gynecology

18181 PEARL RD
B206
STRONGSVILLE, OH
ZIP 44136

(440) 816-4930

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104975895, enumerated as an "organization" on January 10, 2007.

The provider is located at 18181 PEARL RD B202 STRONGSVILLE, OH 44136 and the phone number is (440) 816-4965.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Meridian, Ambetter. Please consult your insurance carrier or call the provider to verify.