Healthcare Provider Details

I. General information

NPI: 1104853662
Provider Name (Legal Business Name): ERIC JASON MAJORS PHYSICIAN ASSISTANT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 05/19/2020
Certification Date: 05/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-1256
US

IV. Provider business mailing address

6770 MAYFIELD RD SUITE 400
MAYFIELD HEIGHTS OH
44124-2299
US

V. Phone/Fax

Practice location:
  • Phone: 440-449-9300
  • Fax: 440-449-9383
Mailing address:
  • Phone: 440-449-9300
  • Fax: 440-449-9383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.001574RX
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA 9102581
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: