Healthcare Provider Details

I. General information

NPI: 1134565757
Provider Name (Legal Business Name): ALLISON EFFRON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2013
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31100 PINETREE RD STE 215
PEPPER PIKE OH
44124-5964
US

IV. Provider business mailing address

31100 PINETREE RD STE 215
PEPPER PIKE OH
44124-5964
US

V. Phone/Fax

Practice location:
  • Phone: 216-236-5446
  • Fax: 216-468-5954
Mailing address:
  • Phone: 216-236-5446
  • Fax: 216-468-5954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.128549
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: