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

Geauga Sports Medicine, LLC

Organization Sports Medicine (Preventive Medicine) Physician · NPI 1396746970

Geauga Sports Medicine, LLC is a Sports Medicine (Preventive Medicine) Physician in Chardon, Ohio. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone: (440) 285-6452
Fax: (440) 285-1796
Show map & directions

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

Specialties & licences

Sports Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083S0010X (OH)

Record details

NPI number1396746970
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Kelis — President · (440) 285-6452
NPI enumeratedAugust 9, 2005
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 567, Chagrin Falls, OH 44022-0567