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

Geauga Medical Therapy Center LLC

Organization Addiction Medicine (Family Medicine) Physician · NPI 1376911495

Geauga Medical Therapy Center LLC is an Addiction Medicine (Family Medicine) Physician in Chardon, Ohio. Licensed in Ohio. Registered with an NPI since 2015.

Licensed in
OH
In the registry since
2015
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13170 Ravenna Rd Ste 108
Chardon, OH 44024-7025
Phone: (440) 409-7055
Fax: (440) 279-4009
Show map & directions

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

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X
Community Health Clinic/Center Taxonomy 261QC1500X
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 35.122879 (OH)

Record details

NPI number1376911495
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFadul Health Partners, PLLC
Authorized official Zaid Fadul — Ceo · (855) 360-4673
NPI enumeratedSeptember 5, 2015
Last updated in NPPESJuly 12, 2016
Mailing address125 W McDowell Rd, Suite A, Phoenix, AZ 85003-1223

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