Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elyria Mediclinic

Organization Family Medicine Physician · NPI 1639413453

Elyria Mediclinic is a Family Medicine Physician in Elyria, Ohio. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2

Practice location Address checks out

1260 Abbe Rd N
Elyria, OH 44035-1649
Phone: (440) 366-0455
Fax: (440) 281-8839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1639413453
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sanrae Onyeneke — President · (216) 666-0224
NPI enumeratedNovember 16, 2012
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address156 Cleveland Street, Elyria, OH 44035

Other providers in Elyria