Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sg Medical Professional Services of Ohio Corp

Organization General Practice Physician · NPI 1326753179

Sg Medical Professional Services of Ohio Corp provides General Practice Physician services 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.

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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