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

Sg Medical Professional Services of Ohio Corp

Organization General Practice Physician · NPI 1326753179

Sg Medical Professional Services of Ohio Corp is a General Practice Physician in Wickliffe, Ohio. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2660 Bishop Rd
Wickliffe, OH 44092-2642
Phone: (718) 362-1403
Fax: (718) 414-1651
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1326753179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krystal McKenna — Director Of Operations · (718) 362-1403
NPI enumeratedJanuary 17, 2023
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023
Mailing address612 Corporate Way Ste 2m, Valley Cottage, NY 10989-2027