OrganizationActive
Geauga Medical Therapy Center LLC
NPI 1376911495 · Addiction Medicine (Family Medicine) Physician · Chardon, OH
Provider details
- NPI number
- 1376911495
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Fadul Health Partners, PLLC
- Organization subpart
- Yes
- Authorized official
- Zaid Fadul, Ceo(855) 360-4673
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
13170 Ravenna Rd
Suite 108
Chardon, OH 44024-7025
Phone: (440) 409-7055
Fax: (440) 279-4009
Approximate (ZIP-level) locationGet directions
Mailing address
125 W Mcdowell Rd
Phoenix, AZ 85003-1223
Registry dates
- Enumerated
- 2015-09-05
- Last updated
- 2016-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.