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NPI Code Detail

MEDICARE: CLEVELAND SURGI-CENTER, INC

MEDICARE: CLEVELAND SURGI-CENTER, 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
1207V00000XObstetrics & Gynecology Physician

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 : 1558423095
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEVELAND SURGI-CENTER, INC
Provider Business Mailing Address
First Line : 3535 LEE RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-5122
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3535 LEE RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-5122
Country : US
Telephone Number : 216-295-3330
Fax Number :
Authorized Official
Title or Position : ACCOUNTS MANAGER
Name : MRS. JENNIFER HARDING
Credential :
Telephone Number : 216-295-3330
Provider Enumeration Date : 12/14/2006
Last Update Date : 08/22/2020

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Directions to “CLEVELAND SURGI-CENTER, INC ” Practice Location

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