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NPI Code Detail

MEDICARE: DR. JACQUELINE M DIPIERRO M.D.

MEDICARE: DR. JACQUELINE M DIPIERRO M.D.
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
1208M00000XHospitalist Physician35.068387OH
2208200000XPlastic Surgery Physician35-068387OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000124459OTHEROHANTHEM

General Provider Information

NPI Number : 1306814330
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELINE M DIPIERRO M.D.
Provider Business Mailing Address
First Line : PO BOX 73327N
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-1094
Country : US
Telephone Number : 440-879-0078
Fax Number : 440-879-0084
Provider Business Practice Location Address
First Line : 12300 MCCRACKEN RD
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-2914
Country : US
Telephone Number : 216-581-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 11/19/2024

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