Healthcare Provider Details

I. General information

NPI: 1376754036
Provider Name (Legal Business Name): ERIKA ANN WOODSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A71 9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

A71 9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-6696
  • Fax: 216-445-9409
Mailing address:
  • Phone: 216-444-6696
  • Fax: 216-445-9409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number37899
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number35.095438
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: