| Organization Name: | CDC PHYSICIANS ORGANIZATION, INC. |
| NPI Number: | 1073682209 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE P WISH (PRESIDENT AND CEO) |
| Mailing Address: | 18720 Chagrin Blvd Shaker Heights |
| State: | OH US |
| Postal Code: | 441224855 |
| Phone Number: | 2162957003 |
| Fax Number: | 2162957014 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 03/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0204X |
| License Number: | 35062206 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Vascular & Interventional Radiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |