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NPI Code Detail

MEDICARE: DR. GARY SALOVON M.D.

MEDICARE: DR. GARY SALOVON 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
1207L00000XAnesthesiology Physician35077139SOH

Other Identifiers

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

General Provider Information

NPI Number : 1356340061
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY SALOVON M.D.
Provider Business Mailing Address
First Line : 7757 AUBURN RD STE 15
Second Line :
City : PAINESVILLE
State : OH
Zip : 44077-9604
Country : US
Telephone Number : 440-350-0832
Fax Number : 440-579-0191
Provider Business Practice Location Address
First Line : 36000 EUCLID AVE
Second Line :
City : WILLOUGHBY
State : OH
Zip : 44094-4625
Country : US
Telephone Number : 440-350-0832
Fax Number : 440-579-0191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 04/08/2020

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Directions to “ DR. GARY SALOVON M.D.” Practice Location

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