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NPI Code Detail

MEDICARE: TIFFANY KACMAREK

MEDICARE: TIFFANY KACMAREK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant50.004731RXOH

General Provider Information

NPI Number : 1033562970
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY KACMAREK
Provider Business Mailing Address
First Line : 18101 LORAIN AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-5612
Country : US
Telephone Number : 216-476-7312
Fax Number :
Provider Business Practice Location Address
First Line : 18101 LORAIN AVENUE, CLEVELAND CLINIC-FAIRVIEW HOSPITAL
Second Line : EMERGENCY SERVICES
City : CLEVELAND
State : OH
Zip : 44111-5612
Country : US
Telephone Number : 216-476-7312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2016
Last Update Date : 04/08/2026

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Directions to “ TIFFANY KACMAREK ” Practice Location

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