MEDICARE: RANDAL E. MARCH 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	207W00000X	Ophthalmology Physician	35-04-9627-M	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	180023722	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51740	OTHER	OH	QUALCHOICE
2	22321	OTHER	OH	COLE MANAGED VISION
4	000000115593	OTHER	OH	ANTHEM
5	102647	OTHER	OH	KAISER
6	0801006	OTHER	OH	UNITED HEALTHCARE
7	341345260028	OTHER	OH	CARESOURCE

General Provider Information

NPI Number	:	1316940414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANDAL E. MARCH MD

Provider Business Mailing Address
First Line	:	6770 MAYFIELD RD
Second Line	:	# 338
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-2299
Country	:	US
Telephone Number	:	440-442-4330
Fax Number	:	440-442-4695

Provider Business Practice Location Address
First Line	:	6770 MAYFIELD RD
Second Line	:	# 338
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-2299
Country	:	US
Telephone Number	:	440-442-4330
Fax Number	:	440-442-4695

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	09/27/2012

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Directions to “ RANDAL E. MARCH MD” Practice Location

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