OrganizationActive
Fairview General Hospital
NPI 1679529119 · Internal Medicine Physician · Cleveland, OH
Provider details
- NPI number
- 1679529119
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Wiedt, Chief Executive Officer(440) 895-5021
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
7901 Detroit Ave
Suite 205
Cleveland, OH 44102-2828
Phone: (216) 281-0770
Fax: (216) 281-0564
Street-level locationGet directions
Mailing address
20525 Center Ridge Rd
Rocky River, OH 44116-3437
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.