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NPI Code Detail

MEDICARE: SHANA RUTH GOLDSTEIN-PTAHIA CNM

MEDICARE: SHANA RUTH GOLDSTEIN-PTAHIA CNM
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
1367A00000XAdvanced Practice Midwife019341OH

General Provider Information

NPI Number : 1205352424
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANA RUTH GOLDSTEIN-PTAHIA CNM
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 800-223-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2017
Last Update Date : 04/13/2026

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Directions to “ SHANA RUTH GOLDSTEIN-PTAHIA CNM” Practice Location

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