Provider Demographics
NPI:1861505422
Name:DRS. LEVINE & REIGLE, INC.
Entity type:Organization
Organization Name:DRS. LEVINE & REIGLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-753-0018
Mailing Address - Street 1:35110 EUCLID AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-4523
Mailing Address - Country:US
Mailing Address - Phone:440-753-0018
Mailing Address - Fax:440-753-0035
Practice Address - Street 1:35110 EUCLID AVE STE 2
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4523
Practice Address - Country:US
Practice Address - Phone:440-753-0018
Practice Address - Fax:440-753-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0795699Medicaid