Healthcare Provider Details

I. General information

NPI: 1285098608
Provider Name (Legal Business Name): ADAM BARRON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVENUE DESK S-80
CLEVELAND OH
44195
US

IV. Provider business mailing address

9500 EUCLID AVENUE DESK S-80
CLEVELAND OH
44195
US

V. Phone/Fax

Practice location:
  • Phone: 216-445-5658
  • Fax: 216-636-2061
Mailing address:
  • Phone: 216-445-5658
  • Fax: 216-636-2061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number35.145830
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: