MEDICARE: PATRICIA A MCNAMARA M.D.

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	207V00000X	Obstetrics & Gynecology Physician	35-054223	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
2	000000345509	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1568430296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA A MCNAMARA M.D.

Provider Business Mailing Address
First Line	:	24701 EUCLID AVE
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44117-1714
Country	:	US
Telephone Number	:	440-205-5870
Fax Number	:	440-205-5881

Provider Business Practice Location Address
First Line	:	9000 MENTOR AVE STE 215
Second Line	:
City	:	MENTOR
State	:	OH
Zip	:	44060-4496
Country	:	US
Telephone Number	:	440-205-5870
Fax Number	:	440-205-5881

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	09/19/2023

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