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SOUTHWEST GENERAL MEDICAL GROUP
NPI 1639610702
Physician Assistant - Medical in Cleveland, OH

Active since March 09, 2017
18697 BAGLEY RD, CLEVELAND, OH 44130(440) 816-8200(440) 816-8197 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southwest General Medical Group NPPES

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

SOUTHWEST GENERAL MEDICAL GROUP (NPI 1639610702) is a healthcare organization registered as a medical in Cleveland, Ohio and active in the NPI registry since March 2017. The organization lists Heather Wagner, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1639610702
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameSOUTHWEST GENERAL MEDICAL GROUP
Location Address18697 BAGLEY RDCleveland, OH 44130-3417
Mailing AddressPo Box 638269Cincinnati, OH 45263-8269 · (440) 289-2025
Phone(440) 816-8200
Fax(440) 816-8197
Organization SubpartNo
Authorized OfficialHeather WagnerExecutive Director · (440) 816-4906
Enumeration DateMarch 9, 2017
Last NPPES UpdateFebruary 28, 2019
✔ NPI 1639610702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OH · 50005004
18697 BAGLEY RD, Cleveland, OH 44130
Open in Google Maps ↗

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

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Southwest Community Pharmacy carries, from the Medicare DMEPOS supplier directory.

Southwest Community Pharmacy

DMEPOS supplier · Cleveland, OHOperated by Southwest Holdings Inc
✔

Accepts Medicare assignment

Southwest Community Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20540399
Medicare Participant SinceJune 11, 2010
Supplier Location18697 Bagley RdCleveland, OH 44130
Phone(440) 816-8410
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

DR. CHARLES LUTHER M.D.
Psychiatry & Neurology (Psychiatry)
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-8200
LAURA PESETSKY CNP
Nurse Practitioner
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-8000
PATRICK M CLEARY PA-C
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Cuyahoga County (440) 816-8000
SOUTHWEST GENERAL MEDICAL GROUP INC
Anesthesiology
18697 BAGLEY RD
CLEVELAND, OH 44130
Cuyahoga County (440) 816-5872
RYAN JOSEPH NEWMAN PA-C
Physician Assistant (Medical)
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-8000
MRS. PATRICIA ANN PHILLIPS RPH
Pharmacist
18697 BAGLEY RD
CLEVELAND, OH 44130
Cuyahoga County (440) 816-8410
JAMES JOS RYBAK MD
Emergency Medicine
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-8000
PHILLIP STOUT MD
Emergency Medicine
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-8000

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 Southwest General Medical Group's NPI number?

The NPI number for Southwest General Medical Group is 1639610702. It was assigned to this organization in the NPPES registry on March 9, 2017.

Where is Southwest General Medical Group located?

Southwest General Medical Group is located at 18697 Bagley Rd, Cleveland, OH 44130. The listed phone number is (440) 816-8200.

What is Southwest General Medical Group's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Southwest General Medical Group accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Southwest Community Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Southwest General Medical Group was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.