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Clinic Physician Services Co. LLC

Anesthesiology Physician in Mayfield Hts, OH · enumerated 2005 · authorized official Tim Longville, Chief Accounting Officer and Contro.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235127408

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Registry record

Entity type Organization (Type 2)
Legal business name Clinic Physician Services Co. LLC
Practice address 6780 Mayfield Rd, Mayfield Hts, OH, 44124
Phone (440) 312-4500
Enumeration date Oct 11, 2005
Last updated in NPPES Feb 23, 2022

Taxonomy & classification

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary
207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Tim Longville
Title Chief Accounting Officer and Contro
Phone (216) 636-7416

Other identifiers

Identifier Type State Issuer
2178290 Medicaid OH -
2175882 Medicaid OH -
2178272 Medicaid OH -
2475165 Medicaid OH -
2545811 Medicaid OH -
2173615 Medicaid OH -
2173651 Medicaid OH -
2355099 Medicaid OH -
CG8024 Other OH RAILROAD MEDICARE
2173660 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Clinic Physician Services Co. LLC?
The NPI for Clinic Physician Services Co. LLC is 1235127408, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Clinic Physician Services Co. LLC?
NPPES lists Tim Longville (Chief Accounting Officer and Contro) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-23.