Healthcare Provider Details

I. General information

NPI: 1902226848
Provider Name (Legal Business Name): EMILY THERESE MEISSNER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2014
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE. UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND OH
44106
US

IV. Provider business mailing address

11100 EUCLID AVE. UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND OH
44106
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-3887
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number34.013933
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number34.013933
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: