MEDICARE: CLEVELAND ORTHOPAEDIC ASSOCIATES INC

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	332B00000X	Durable Medical Equipment & Medical Supplies		OH
2	207X00000X	Orthopaedic Surgery Physician		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	:	1245221415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND ORTHOPAEDIC ASSOCIATES INC

Provider Business Mailing Address
First Line	:	5706 TURNEY RD
Second Line	:	SUITE 107
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-3971
Country	:	US
Telephone Number	:	216-332-0887
Fax Number	:	216-332-0875

Provider Business Practice Location Address
First Line	:	5706 TURNEY RD
Second Line	:	SUITE 107
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-3971
Country	:	US
Telephone Number	:	216-332-0887
Fax Number	:	216-332-0875

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CYRIL E MARSHALL
Credential	:	MD
Telephone Number	:	216-332-0887

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	10/10/2011

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