MEDICARE: CLEVELAND CLINIC

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	174400000X	Specialist	35061144D	OH

General Provider Information

NPI Number	:	1497826002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND CLINIC

Provider Business Mailing Address
First Line	:	6803 MAYFIELD RD
Second Line	:	BUILDING 1 SUITE 200
City	:	MAYFIELD HEIGHTS
State	:	OH
Zip	:	44124-2271
Country	:	US
Telephone Number	:	440-312-8599
Fax Number	:

Provider Business Practice Location Address
First Line	:	6803 MAYFIELD RD
Second Line	:	BUILDING 1 SUITE 200
City	:	MAYFIELD HEIGHTS
State	:	OH
Zip	:	44124-2271
Country	:	US
Telephone Number	:	440-312-8599
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR PAIN MANAGEMENT
Name	:	DR. TERESA E DEWS
Credential	:	MD, FACP
Telephone Number	:	440-312-8599

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	03/07/2023

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Directions to “CLEVELAND CLINIC ” Practice Location

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