MEDICARE: STANLEY H. NAHIGIAN M.D. INC.

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
1	2086S0105X	Surgery of the Hand (Surgery) Physician	35022081	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0426660001	OTHER	OH	ADMINISTAR FEDERAL DMERC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	289280041 002	OTHER	OH	MEDICAL MUTUAL OF OHIO
4	000000127362	OTHER	OH	ANTHEM BLUE CROSS BLUE SH
5	09-01350	OTHER	OH	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1306050810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STANLEY H. NAHIGIAN M.D. INC.

Provider Business Mailing Address
First Line	:	29001 CEDAR RD
Second Line	:	SUITE 519
City	:	CLEVELAND
State	:	OH
Zip	:	44124-4062
Country	:	US
Telephone Number	:	440-473-3434
Fax Number	:	440-473-0075

Provider Business Practice Location Address
First Line	:	29001 CEDAR RD
Second Line	:	SUITE 519
City	:	CLEVELAND
State	:	OH
Zip	:	44124-4062
Country	:	US
Telephone Number	:	440-473-3434
Fax Number	:	440-473-0075

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STANLEY H NAHIGIAN
Credential	:	M.D.
Telephone Number	:	440-473-3434

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	04/20/2008

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