Healthcare Provider Details

I. General information

NPI: 1134458813
Provider Name (Legal Business Name): JOHN ANTHONY MORREN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2009
Last Update Date: 05/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CLEVELAND CLINIC 9500 EUCLID AVENUE / S90
CLEVELAND OH
44195
US

IV. Provider business mailing address

CLEVELAND CLINIC 9500 EUCLID AVENUE / S90
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-5554
  • Fax: 216-445-4653
Mailing address:
  • Phone: 216-444-5554
  • Fax: 216-445-4653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number35.121094
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number35.121094
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: