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1013975242

NPI Code Detail

MEDICARE: DR. ANN B REICHSMAN M.D.

MEDICARE: DR. ANN B REICHSMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35044391	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	341300581036	OTHER	OH	CARESOURCE
2	735727	OTHER	OH	BUCKEYE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	352779	OTHER	OH	WELLCARE
5	000000129990	OTHER	OH	BLUE CROSS BLUE SHIELD
6	M44391	OTHER	OH	APEX
7	4073669	OTHER	OH	AETNA
8	M44391	OTHER	OH	SUMMA

General Provider Information

NPI Number	:	1013975242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN B REICHSMAN M.D.

Provider Business Mailing Address
First Line	:	3569 RIDGE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-5443
Country	:	US
Telephone Number	:	216-281-0872
Fax Number	:	216-281-9565

Provider Business Practice Location Address
First Line	:	3569 RIDGE ROAD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-5443
Country	:	US
Telephone Number	:	216-281-0872
Fax Number	:	216-281-9565

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	12/21/2011

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Directions to “ DR. ANN B REICHSMAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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