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NPI Code Detail

MEDICARE: MICHAEL F DEVLIN M.D.

MEDICARE: MICHAEL F DEVLIN 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
1207L00000XAnesthesiology Physician35-074601OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000520891OTHEROHANTHEM
204097OTHEROHPARAMOUNT
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4341881145-002OTHEROHMMO
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6P00404498OTHEROHRRMC

General Provider Information

NPI Number : 1184627176
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL F DEVLIN M.D.
Provider Business Mailing Address
First Line : 2801 BAY PARK DR
Second Line :
City : OREGON
State : OH
Zip : 43616-4920
Country : US
Telephone Number : 419-690-7653
Fax Number : 419-697-7726
Provider Business Practice Location Address
First Line : 2801 BAY PARK DR
Second Line :
City : OREGON
State : OH
Zip : 43616-4920
Country : US
Telephone Number : 419-690-7653
Fax Number : 419-697-7726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 04/30/2012

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Directions to “ MICHAEL F DEVLIN M.D.” Practice Location

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