OrganizationActive
Marymount Primary Care Services, Inc.
NPI 1063606440 · Family Medicine Physician · Broadview Heights, OH
Provider details
- NPI number
- 1063606440
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Walchanowicz, Practice Manager(440) 543-8855
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2001 E Royalton Rd
Broadview Heights, OH 44147-2811
Phone: (440) 717-6100
Fax: (440) 546-1382
Street-level locationGet directions
Mailing address
2001 E Royalton Rd
Broadview Heights, OH 44147-2811
Registry dates
- Enumerated
- 2007-08-29
- Last updated
- 2008-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.