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GEAUGA SPORTS MEDICINE, LLC
NPI 1396746970
Preventive Medicine - Sports Medicine in Chardon, OH

Active since August 09, 2005
13207 RAVENNA RD, CHARDON, OH 44024(440) 285-6452(440) 285-1796 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Geauga Sports Medicine, Llc NPPES

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

GEAUGA SPORTS MEDICINE, LLC (NPI 1396746970) is a healthcare organization registered as a sports medicine in Chardon, Ohio and active in the NPI registry since August 2005. The organization lists Michael J Kelis, President, as its authorized official.

NPPES Registry Identity

NPI1396746970
Entity TypeOrganization
Primary Taxonomy2083S0010X
Legal Business NameGEAUGA SPORTS MEDICINE, LLC
Location Address13207 RAVENNA RDChardon, OH 44024-7032
Mailing AddressPo Box 567Chagrin Falls, OH 44022-0567 · (216) 464-5160 · Fax (216) 464-5982
Phone(440) 285-6452
Fax(440) 285-1796
Organization SubpartNo
Authorized OfficialMichael J KelisPresident · (440) 285-6452
Enumeration DateAugust 9, 2005
Last NPPES UpdateJuly 21, 2022
✔ NPI 1396746970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
13207 RAVENNA RD, Chardon, OH 44024
Open in Google Maps ↗

Other Identifiers 1

Other250006704OH · Rr Medicare

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 20

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

ROBERT J. ZIMMERMAN M.D.
Emergency Medicine
13207 RAVENNA RD
CHARDON, OH 44024
Geauga County (440) 285-6000
DR. HALEY HOWARD PHARMD
Pharmacist
13207 RAVENNA RD
CHARDON, OH 44024
Geauga County (440) 285-6000
LAVANYA GALI MD
Student in an Organized Health Care Education/Training Program
13207 RAVENNA RD
CHARDON, OH 44024
Geauga County (440) 285-6000
SHIVAM BHAVESH BHATT DO
Family Medicine
13207 RAVENNA RD
CHARDON, OH 44024
Geauga County (440) 585-6553
DR. MARTIN MACKLIN M.D.
Psychiatry & Neurology (Addiction Psychiatry)
13207 RAVENNA RD
CHARDON, OH 44024
Geauga County (440) 269-6595
MAETINEE LOPARO NP-C
Nurse Practitioner
13207 RAVENNA RD
CHARDON, OH 44024
Geauga County (330) 656-9304
SAMUEL BOGGESS
Student in an Organized Health Care Education/Training Program
13207 RAVENNA RD
CHARDON, OH 44024
Geauga County (877) 356-0756
AHMAD HOURY MD
Student in an Organized Health Care Education/Training Program
13207 RAVENNA RD
CHARDON, OH 44024
Geauga County (216) 262-8718

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 Sports Medicine, LLC's NPI number?

The NPI number for Geauga Sports Medicine, LLC is 1396746970. It was assigned to this organization in the NPPES registry on August 9, 2005.

Where is Geauga Sports Medicine, LLC located?

Geauga Sports Medicine, LLC is located at 13207 Ravenna Rd, Chardon, OH 44024. The listed phone number is (440) 285-6452.

What is Geauga Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

What insurance does Geauga Sports Medicine, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Geauga Sports Medicine, 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 Sports Medicine, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.