Healthcare Provider Details

I. General information

NPI: 1679542567
Provider Name (Legal Business Name): NIZAR NADER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 FISHCREEK RD STE 200
STOW OH
44224-4316
US

IV. Provider business mailing address

9885 TURNING LEAF TRL
BRECKSVILLE OH
44141-3344
US

V. Phone/Fax

Practice location:
  • Phone: 330-319-9700
  • Fax: 234-312-2222
Mailing address:
  • Phone: 440-781-9970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number35-082942
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number35082942
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number35-082942
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: