=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487845277
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HOWARD L LEVINE M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/06/2007
-----------------------------------------------------
Last Update Date | 04/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6770 MAYFIELD RD STE 425
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44124-2299
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-684-9980
-----------------------------------------------------
Fax | 440-449-9279
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6770 MAYFIELD RD STE 425
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44124-2299
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-684-9980
-----------------------------------------------------
Fax | 440-449-9279
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207YX0905X
-----------------------------------------------------
Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
-----------------------------------------------------
License Number | 35033845
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------