Healthcare Provider Details
I. General information
NPI: 1821558610
Provider Name (Legal Business Name): DREW VINCENT CUMMING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/20/2019
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9500 EUCLID AVE
CLEVELAND OH
44195-2621
US
IV. Provider business mailing address
9500 EUCLID AVE
CLEVELAND OH
44195-0001
US
V. Phone/Fax
- Phone: 216-444-9847
- Fax: 216-445-7032
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 35.151280 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0015X |
| Taxonomy | Psychosomatic Medicine Physician |
| License Number | 35.151280 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: