MEDICARE: DR. ERIC JB SHAPIRO 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	207RG0100X	Gastroenterology Physician	35054257S	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00185642	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	R54257	OTHER	OH	APEX & SUMMACARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104825629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC JB SHAPIRO MD

Provider Business Mailing Address
First Line	:	24701 EUCLID AVE
Second Line	:	THIRD FLOOR BILLING SERVICES
City	:	EUCLID
State	:	OH
Zip	:	44117-1714
Country	:	US
Telephone Number	:	440-708-1555
Fax Number	:	440-708-1515

Provider Business Practice Location Address
First Line	:	8185 E WASHINGTON ST
Second Line	:	SUITE 2
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44023-4574
Country	:	US
Telephone Number	:	440-708-1555
Fax Number	:	440-708-1515

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	11/13/2020

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Directions to “ DR. ERIC JB SHAPIRO MD” Practice Location

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