Healthcare Provider Details

I. General information

NPI: 1154301505
Provider Name (Legal Business Name): BARBARA E SHAPIRO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 11/14/2020
Certification Date: 11/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVENUE BOLWELL 2700
CLEVELAND OH
44106-5098
US

IV. Provider business mailing address

11000 EUCLID AVE
CLEVELAND OH
44106-1714
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-7768
  • Fax: 216-844-7624
Mailing address:
  • Phone: 216-844-7768
  • Fax: 216-983-0792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number71833
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number35.073925
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: