GEAUGA MEDICAL THERAPY CENTER LLC
NPI 1376911495
Family Medicine - Addiction Medicine in Chardon, OH

Active since September 05, 2015
13170 RAVENNA RD, SUITE 108, CHARDON, OH 44024(440) 409-7055(440) 279-4009 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Geauga Medical Therapy Center Llc NPPES

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

GEAUGA MEDICAL THERAPY CENTER LLC (NPI 1376911495) is a healthcare organization registered as an addiction medicine in Chardon, Ohio and active in the NPI registry since September 2015. The organization lists Zaid Fadul, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376911495
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameGEAUGA MEDICAL THERAPY CENTER LLC
Location Address13170 RAVENNA RD, SUITE 108Chardon, OH 44024-7025
Mailing Address125 W Mcdowell Rd, Suite APhoenix, AZ 85003-1223 · (855) 360-4673
Fax(440) 279-4009
Organization SubpartYesParent: Fadul Health Partners, Pllc
Authorized OfficialZaid FadulCeo · (855) 360-4673
Enumeration DateSeptember 5, 2015
Last NPPES UpdateJuly 12, 2016
NPI 1376911495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 35.122879 (OH)
13170 RAVENNA RD, Chardon, OH 44024

Accepted Insurance

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.

Internal Medicine (Infectious Disease)
13170 RAVENNA RD, SUITE 206
CHARDON, OH 44024
Point of Service
13170 RAVENNA RD, SUITE#116
CHARDON, OH 44024
Surgery
13170 RAVENNA RD, SUITE 108
CHARDON, OH 44024
Internal Medicine (Infectious Disease)
13170 RAVENNA RD, SUITE #206
CHARDON, OH 44024
Family Medicine (Addiction Medicine)
13170 RAVENNA RD, SUITE 108
CHARDON, OH 44024
Specialist
13170 RAVENNA RD
CHARDON, OH 44024
Obstetrics & Gynecology
13170 RAVENNA RD, #116
CHARDON, OH 44024
Nurse Practitioner (Family)
13170 RAVENNA RD
CHARDON, OH 44024

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 Geauga Medical Therapy Center LLC's NPI number?

The NPI number for Geauga Medical Therapy Center LLC is 1376911495. It was assigned to this organization in the NPPES registry on September 5, 2015.

Where is Geauga Medical Therapy Center LLC located?

Geauga Medical Therapy Center LLC is located at 13170 Ravenna Rd Suite 108, Chardon, OH 44024. The listed phone number is (440) 409-7055.

What is Geauga Medical Therapy Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

What insurance does Geauga Medical Therapy Center LLC accept?

Health plans from CareSource list Geauga Medical Therapy Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Geauga Medical Therapy Center LLC was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.