Healthcare Provider Details

I. General information

NPI: 1306475777
Provider Name (Legal Business Name): NORMA GISELA ATKINSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NORMA GISELA GUTIERREZ VARA MD

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 05/12/2024
Certification Date: 05/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 METROHEALTH DR
CLEVELAND OH
44109-1900
US

IV. Provider business mailing address

2500 METROHEALTH DR
CLEVELAND OH
44109-1900
US

V. Phone/Fax

Practice location:
  • Phone: 216-778-1639
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number35147545
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: