Healthcare Provider Details

I. General information

NPI: 1043478068
Provider Name (Legal Business Name): RACHEL S WEINERMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 12/07/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 AUBURN DR STE 310
BEACHWOOD OH
44122-4317
US

IV. Provider business mailing address

20800 HARVARD RD FL 2
HIGHLAND HILLS OH
44122-7250
US

V. Phone/Fax

Practice location:
  • Phone: 216-285-5028
  • Fax:
Mailing address:
  • Phone: 216-358-2156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35125561
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: