Healthcare Provider Details

I. General information

NPI: 1518934173
Provider Name (Legal Business Name): STEVEN A RICHMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: STEVEN A LEEDS-RICHMAN MD

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4389 MEDINA RD STE 2002F
COPLEY OH
44321-1388
US

IV. Provider business mailing address

4389 MEDINA RD STE 2002F
COPLEY OH
44321-1388
US

V. Phone/Fax

Practice location:
  • Phone: 330-564-3473
  • Fax:
Mailing address:
  • Phone: 330-564-3473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35075905
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: