SG MEDICAL PROFESSIONAL SERVICES OF OHIO CORP
NPI 1326753179
General Practice in Wickliffe, OH

Active since January 17, 2023
2660 BISHOP RD, WICKLIFFE, OH 44092(718) 362-1403(718) 414-1651 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sg Medical Professional Services Of Ohio Corp NPPES

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

SG MEDICAL PROFESSIONAL SERVICES OF OHIO CORP (NPI 1326753179) is a healthcare organization registered as a general practice in Wickliffe, Ohio and active in the NPI registry since January 2023. The organization lists Krystal Mckenna, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1326753179
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSG MEDICAL PROFESSIONAL SERVICES OF OHIO CORP
Location Address2660 BISHOP RDWickliffe, OH 44092-2642
Mailing Address612 Corporate Way Ste 2mValley Cottage, NY 10989-2027 · (718) 362-1403 · Fax (718) 414-1651
Fax(718) 414-1651
Organization SubpartNo
Authorized OfficialKrystal MckennaDirector Of Operations · (718) 362-1403
Enumeration DateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
NPI 1326753179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2660 BISHOP RD, Wickliffe, OH 44092

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

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 Sg Medical Professional Services Of Ohio Corp's NPI number?

The NPI number for Sg Medical Professional Services Of Ohio Corp is 1326753179. It was assigned to this organization in the NPPES registry on January 17, 2023.

Where is Sg Medical Professional Services Of Ohio Corp located?

Sg Medical Professional Services Of Ohio Corp is located at 2660 Bishop Rd, Wickliffe, OH 44092. The listed phone number is (718) 362-1403.

What is Sg Medical Professional Services Of Ohio Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Sg Medical Professional Services Of Ohio Corp was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.