Healthcare Provider Details

I. General information

NPI: 1538094099
Provider Name (Legal Business Name): JULIA BETH PIAZZA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

17895 STERLING GLEN LN
CHAGRIN FALLS OH
44023-2463
US

V. Phone/Fax

Practice location:
  • Phone: 216-476-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.010325RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: