MEDICARE: CITY OF EASTLAKE

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	341600000X	Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590015598	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000288318	OTHER	OH	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275565764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF EASTLAKE

Provider Business Mailing Address
First Line	:	PO BOX 392907
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9907
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	513-772-4464

Provider Business Practice Location Address
First Line	:	35150 LAKE SHORE BLVD
Second Line	:
City	:	EASTLAKE
State	:	OH
Zip	:	44095-2047
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	513-772-4464

Authorized Official
Title or Position	:	CHIEF
Name	:	FRANCIS KOVACIC
Credential	:
Telephone Number	:	440-951-2287

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	06/25/2025

Similar Medicare Providers

1528061033 — DR. SHELDON COHEN DDS
Practice Location Address:

35585 LAKESHORE BLVD
EASTLAKE, OH
44095-1963

Practice Phone: 440-946-4050
Practice Fax: 440-946-3716

1205818655 — ROBERT C GERLAND R.PH.
Practice Location Address:

34099 MELINZ PKWY , UNIT F-2
EASTLAKE, OH
44095-4041

Practice Phone: 800-633-7167
Practice Fax: 800-474-8215

1477514248 — DR. JEFFREY S GROSS DDS
Practice Location Address:

34586 LAKESHORE BLVD
EASTLAKE, OH
44095-2002

Practice Phone: 440-951-7856
Practice Fax: 440-946-7878

1386606507 — MARK S FLORMAN DDS
Practice Location Address:

34696 VINE STREET
EASTLAKE, OH
44095

Practice Phone: 440-953-9111
Practice Fax: 440-953-9113

1033130380 — DRS. GROSS, MALCMACHER, THALER & ASSOCIATES, LLC
Practice Location Address:

34586 LAKE SHORE BLVD
EASTLAKE, OH
44095-2002

Practice Phone: 440-951-7856
Practice Fax: 440-946-7878

1912009218 — KENDRA L. MAHAFFEY O.D., INC.
Practice Location Address:

34440 VINE ST
EASTLAKE, OH
44095

Practice Phone: 440-942-9315
Practice Fax: 440-942-9374

Directions to “CITY OF EASTLAKE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.