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

Southwest General Medical Group

Organization Medical Physician Assistant · NPI 1639610702

Southwest General Medical Group is a Medical Physician Assistant in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017

Practice location Address checks out

18697 Bagley Rd
Cleveland, OH 44130-3417
Phone: (440) 816-8200
Fax: (440) 816-8197
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50005004 (OH)

Record details

NPI number1639610702
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Wagner — Executive Director · (440) 816-4906
NPI enumeratedMarch 9, 2017
Last updated in NPPESFebruary 28, 2019
Mailing addressPo Box 638269, Cincinnati, OH 45263-8269

Other providers in Cleveland