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NPI Code Detail

MEDICARE: ANDREA M REGAN AA

MEDICARE: ANDREA M REGAN AA
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
1367H00000XAnesthesiologist Assistant67000047OH
2367H00000XAnesthesiologist AssistantAA217FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700841020
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA M REGAN AA
Provider Business Mailing Address
First Line : 6000 W CREEK RD
Second Line : SUITE 10
City : INDEPENDENCE
State : OH
Zip : 44131-2139
Country : US
Telephone Number : 800-223-2273
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 800-223-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 10/26/2023

Similar Medicare Providers

1144222167 — MRS. JULIA C JANKO AA-C
Practice Location Address:
9500 EUCLID AVE
CLEVELAND, OH
44195-0001
Practice Phone: 216-444-2200
Practice Fax:
1962467589 — CHARLENE K PORTER AA-C
Practice Location Address:
9500 EUCLID AVE
CLEVELAND, OH
44195-0001
Practice Phone: 216-444-4633
Practice Fax:
1093772774 — LAUREL B. SHELDON AA
Practice Location Address:
9500 EUCLID AVE
CLEVELAND, OH
44195-0001
Practice Phone: 800-223-2273
Practice Fax:
1902864978 — JACQUELINE M KEENAN AA
Practice Location Address:
9500 EUCLID AVE
CLEVELAND, OH
44195-0001
Practice Phone: 800-223-2273
Practice Fax:
1467565580 — ARTHUR A ARCIAGA AA
Practice Location Address:
9500 EUCLID AVE
CLEVELAND, OH
44195-0001
Practice Phone: 800-223-2273
Practice Fax:
1235239583 — THOMAS W MCINTOSH AA
Practice Location Address:
9500 EUCLID AVE
CLEVELAND, OH
44195-0001
Practice Phone: 216-986-1314
Practice Fax: 216-986-1191

Directions to “ ANDREA M REGAN AA” Practice Location

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