MEDICARE: DR. GARY BRIAN KAPLAN MD

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	207RP1001X	Pulmonary Disease Physician	35.054842	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023102324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY BRIAN KAPLAN MD

Provider Business Mailing Address
First Line	:	36001 EUCLID AVE
Second Line	:	SUITE C6
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-4643
Country	:	US
Telephone Number	:	440-946-0053
Fax Number	:	440-946-1812

Provider Business Practice Location Address
First Line	:	35040 CHARON RD
Second Line	:	SUITE 201
City	:	WILLOUGHBY HILLS
State	:	OH
Zip	:	44094-9004
Country	:	US
Telephone Number	:	440-946-0053
Fax Number	:	440-946-1812

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	02/08/2024

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