BOW TIE MEDICAL OHIO, LLC
NPI 1811328065
General Practice in Broadview Heights, OH

Q: What is Bow Tie Medical Ohio, LLC's NPI number?

The NPI number for Bow Tie Medical Ohio, LLC is 1811328065. It was assigned to this organization in the NPPES registry on December 12, 2013.

Q: What is Bow Tie Medical Ohio, LLC's specialty?

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

Active since December 12, 2013CLIA 36D2083211 · Waiver

7500 TOWN CENTRE DR STE 200, BROADVIEW HEIGHTS, OH 44147(877) 283-8863(213) 784-5670 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2022, Mar 17, 2018, Dec 8, 2017 (3 updates tracked since 2017).

On this page

About Bow Tie Medical Ohio, Llc NPPES

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

BOW TIE MEDICAL OHIO, LLC (NPI 1811328065) is a healthcare organization registered as a general practice in Broadview Heights, Ohio and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through March 12, 2027, maintains a secondary practice location in Medina, and lists Firouz Daneshgari, Ceo/cmo, as its authorized official.

NPPES Registry Identity

NPI1811328065

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameBOW TIE MEDICAL OHIO, LLC

Location Address7500 TOWN CENTRE DR STE 200Broadview Heights, OH 44147-4029

Mailing Address7750 Town Centre Dr Ste 300Broadview Heights, OH 44147-4040 · (877) 283-8863 · Fax (213) 784-5670

Phone(877) 283-8863

Fax(213) 784-5670

Organization SubpartNo

Authorized OfficialFirouz DaneshgariCeo/cmo · (877) 283-8663

Enumeration DateDecember 12, 2013

Last NPPES UpdateJanuary 20, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2022

✔ NPI 1811328065 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

7500 TOWN CENTRE DR STE 200, Broadview Heights, OH 44147

Open in Google Maps ↗

Secondary Practice Location 1

Location 1387 Medina Rd, Suite 375Medina, OH 44256-5302 · Phone (888) 735-9410 · Fax (888) 735-9410

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

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2083211

Bowtie Medical Ohio · Broadview Heights, OH

Active · expires Mar 12, 2027

CLIA Number36D2083211

Laboratory TypePhysician Office

Certificate Effective DateMarch 13, 2025

Certificate Expiration DateMarch 12, 2027

Laboratory DirectorDr. Firouz Daneshgari

Laboratory Phone(877) 283-8863

Laboratory LocationBowtie Medical Ohio7750 Town Centre Drive, Suite 100, Broadview Heights, OH 44147

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ALYSSA B TAYLOR LM

Midwife

7500 TOWN CENTRE DR STE 200
BROADVIEW HEIGHTS, OH 44147

Cuyahoga County (330) 623-6555

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 Bow Tie Medical Ohio, LLC's NPI number?

The NPI number for Bow Tie Medical Ohio, LLC is 1811328065. It was assigned to this organization in the NPPES registry on December 12, 2013.

Where is Bow Tie Medical Ohio, LLC located?

Bow Tie Medical Ohio, LLC is located at 7500 Town Centre Dr Ste 200, Broadview Heights, OH 44147. The listed phone number is (877) 283-8863.

What is Bow Tie Medical Ohio, LLC's specialty?

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

Does Bow Tie Medical Ohio, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2083211) is associated with this NPI, valid through March 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bow Tie Medical Ohio, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Bow Tie Medical Ohio, 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 Bow Tie Medical Ohio, LLC was last updated on January 20, 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.