Healthcare Provider Details

I. General information

NPI: 1326130303
Provider Name (Legal Business Name): PAULA USIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 01/08/2021
Certification Date: 01/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8055 MAYFIELD RD STE 105
CHESTERLAND OH
44026-2447
US

IV. Provider business mailing address

PO BOX 92906
CLEVELAND OH
44194-2906
US

V. Phone/Fax

Practice location:
  • Phone: 216-383-0100
  • Fax: 216-383-6481
Mailing address:
  • Phone: 216-383-6480
  • Fax: 216-383-6745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35073533U
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: