MEDICARE: DR. SETH NATHAN SCLAIR 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
1	207RI0008X	Hepatology Physician	ME111133	FL
2	207RT0003X	Transplant Hepatology Physician	35129084	OH
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207RG0100X	Gastroenterology Physician	35129084	OH

General Provider Information

NPI Number	:	1487897419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SETH NATHAN SCLAIR M.D.

Provider Business Mailing Address
First Line	:	11100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1716
Country	:	US
Telephone Number	:	216-844-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	20800 HARVARD RD
Second Line	:	2ND FLOOR
City	:	HIGHLAND HILLS
State	:	OH
Zip	:	44122-7251
Country	:	US
Telephone Number	:	216-358-2156
Fax Number	:	216-201-7880

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2009
Last Update Date	:	12/07/2020

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