OrganizationActive
Kaiser Foundation Health Plan
NPI 1174681183 · Clinic/Center · Willoughby, OH
Provider details
- NPI number
- 1174681183
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Craig Faerber, Vp Cfo(216) 265-8844
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
5105 Som Center Road
Willoughby, OH 44094
Phone: (216) 265-8844
Fax: (216) 265-8890
Street-level locationGet directions
Mailing address
12301 Snow Road
Parma, OH 44130
Other names (DBA / former)
- Doing business as
- Willoughby Medical Offices
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2012-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.