Peter M Ghobrial
Radiology (Diagnostic Radiology)

Address: 3999 Richmond Rd, Beachwood, OH 44122-6046
Phone: 2165935500

Peter M Ghobrial (NPI# 1174797203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1174797203
Entity Type Individual
Full Name Peter M Ghobrial
Credential M.D.
Gender Male
Practice Address 3999 Richmond Rd
Beachwood
OH 44122-6046
Practice Telephone 2165935500
Practice Fax Number 2168445922
Mailing Address 24701 Euclid Ave
Third Floor Billing Services
Euclid
OH 44117-1714
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2008-04-18
Last Update Date 2013-07-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 35-120971 OH

Other Provider Identifier

State Identifier Issuer Type Code
OH 0083865 MEDICAID

Other Providers PETER GHOBRIAL

NPI Name Taxonomy Address Enumeration
1407176621 Peter Morcos Ibrahim Ghobrial Internal Medicine 175 Madison Ave, Mount Holly, NJ 08060-2038 2010-06-10

Physician Overview

NPI 1174797203
PAC ID by PECOS 3577705268
Professional Enrollment ID I20130808000621
Full Name Peter M Ghobrial
Organization Legal Name UNIVERSITY HOSPITALS MEDICAL GROUP INC
Phone Number 2168441000
Gender M
Graduation Year 2007
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 4789682493
Number of Group Practice Members 1097
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
361307 UH GENEVA MEDICAL CENTER
360145 UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER
360123 ST JOHN MEDICAL CENTER
361308 UH CONNEAUT MEDICAL CENTER
360041 PARMA COMMUNITY GENERAL HOSPITAL

Office Location

Street Address 3999 RICHMOND RD
City BEACHWOOD
State OH
Zip Code 44122-6046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497744734 Anupinder S. Hazra Radiology 3999 Richmond Rd, Beachwood, OH 44122-6046 2005-10-19
1164984662 Naveen Khan Physician Assistant 3999 Richmond Rd, Beachwood, OH 44122-6046 2019-04-03
1477019941 Anastasiya Pereskokova Nurse Practitioner 3999 Richmond Rd, Beachwood, OH 44122-6046 2019-02-20
1871058057 Kanisha Harwell Social Worker 3999 Richmond Rd, Beachwood, OH 44122-6046 2019-02-01
1952871113 Danielle Rae Lemieux Pharmacist 3999 Richmond Rd, Beachwood, OH 44122-6046 2018-11-30
1467921155 Gina M Restifo Nurse Practitioner 3999 Richmond Rd, Beachwood, OH 44122-6046 2018-11-26
1063997179 Steven Drellishak Physician Assistant 3999 Richmond Rd, Beachwood, OH 44122-6046 2018-09-25
1003394834 Trisha Tyo Nurse Practitioner 3999 Richmond Rd, Beachwood, OH 44122-6046 2018-08-03
1255819660 Randy Gerrick Nurse Practitioner 3999 Richmond Rd, Beachwood, OH 44122-6046 2018-07-30
1821587510 Kristina Shank Physician Assistant 3999 Richmond Rd, Beachwood, OH 44122-6046 2018-05-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891265864 Karlan Champagne Case Management 23215 Commerence Park, 306, Beachwood, OH 44122 2018-12-03
1952896565 Donna Pinkney Community Health Worker 20550 University Blvd Apt 206, Shaker Hts, OH 44122 2018-06-26
1255825857 Elizabeth Anne Donathan Registered Nurse 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 2018-06-18
1235629312 Stephanie R Marder Counselor 6559 C Wilson Mills Road, Suite 102, Mayfield Village, OH 44122 2018-05-15
1841789427 New Manna Clg, LLC General Acute Care Hospital 25501 Chagrin Blvd, Beachwood, OH 44122 2018-05-09
1386132009 Nichole Price Student in an Organized Health Care Education/Training Program 28049 Harvard Road, Orange Village, OH 44122 2018-04-27
1376049510 Cory Rene Brune Student in an Organized Health Care Education/Training Program South Pointe Hospital, 20000 Harvard Rd, Warrensville Heights, OH 44122 2018-04-05
1982107215 Aleona K Osipova Registered Nurse 20600 Chagrin Blvd Suite 620, Shaker Heights, OH 44122 2018-03-13
1043719834 Valerie Nicholson Dietitian, Registered 25550 Chargrin Blvd, Ste 200, Beachwood, OH 44122 2018-02-07
1134635337 Guy Sartee Marriage & Family Therapist 25550 Chrigrin Blvd, Suite 200, Beachwood, OH 44122 2017-12-26
Find all providers in zip 44122

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467620575 Kimmie Bui Radiology 27030 Cedar Rd Apt 301, Beachwood, OH 44122-1119 2008-02-12
1275710295 Dennis Patrick Lindfors Radiology 25875 Science Park Dr # Ac116, Beachwood, OH 44122-7304 2008-01-22
1316148455 Abraham Ahmed Radiology 25875 Science Park Dr, Ac116, Beachwood, OH 44122-7304 2007-05-29
1710068879 Gabriele Pedicelli Radiology 23625 Commerce Park, Suite 204, Beachwood, OH 44122-5845 2006-10-17
1194818484 Gary B Brennan Radiology 23625 Commerce Park Dr Suite 204, Beachwood, OH 44122 2006-10-02
1669423331 Stephen J Handler Radiology 23625 Commerce Park Ste 204, Beachwood, OH 44122-5845 2006-05-15
1497744734 Anupinder S. Hazra Radiology 3999 Richmond Rd, Beachwood, OH 44122-6046 2005-10-19
1013914100 Beatrix Dagmar Araiza Radiology 3700 Park East Dr, Suite 300, Beachwood, OH 44122-4399 2005-07-05
1518299957 F&s Radiology PC Radiology 3700 Park East Dr, Suite 450, Beachwood, OH 44122-4305 2010-02-10
1710217245 University Hospitals Medical Group, Inc. Radiology 3909 Orange Pl, Suite 1200, Beachwood, OH 44122-4478 2010-01-06
Find all providers in BEACHWOOD

Competitor

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City BEACHWOOD
Zip Code 44122

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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