Healthcare Provider Details

I. General information

NPI: 1770947095
Provider Name (Legal Business Name): ERIC YEH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 ROCKSIDE RD
INDEPENDENCE OH
44131-2172
US

IV. Provider business mailing address

9500 EUCLID AVE # S73
CLEVELAND OH
44195-0002
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2165
  • Fax: 216-636-0090
Mailing address:
  • Phone: 216-844-1867
  • Fax: 216-844-2187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number35.135302
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.135302
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: