Healthcare Provider Details

I. General information

NPI: 1336600584
Provider Name (Legal Business Name): MORGAN LEIGH BERTSCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # NA23
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

6770 MAYFIELD RD
MAYFIELD HEIGHTS OH
44124-2299
US

V. Phone/Fax

Practice location:
  • Phone: 216-440-2200
  • Fax:
Mailing address:
  • Phone: 440-312-2112
  • Fax: 440-312-6885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number35.149079
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: