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

Impact Physician Group, Ohio LLC

Organization Internal Medicine Physician · NPI 1063078749

Impact Physician Group, Ohio LLC is an Internal Medicine Physician in Beachwood, Ohio. Registered with an NPI since 2019.

In the registry since
2019
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

23333 Harvard Rd
Beachwood, OH 44122-6232
Phone: (216) 593-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1063078749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Miller — Ceo · (678) 967-5599
NPI enumeratedMay 17, 2019
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address21 Eastbrook Bnd Ste 218, Peachtree City, GA 30269-1546

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