MEDICARE: GERMAN L.NERI, 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	173000000X	Legal Medicine	35-032276	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	CG4786	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000127968	OTHER	OH	ANTHEM
2	100-38-4219-001	OTHER	OH	MEDICAL MUTUAL
3	000000127968	OTHER	OH	ANTHEM SENIOR ADVANTAGE
4	352453	OTHER	OH	WELLCARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	100-38-4219-00	OTHER	OH	CAREWORKS
7	100384219009	OTHER	OH	MEDICAL MUTUAL OF OHIO
8	100-38-4219-00	OTHER	OH	WORKERS COMPENSATION

General Provider Information

NPI Number	:	1578752200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERMAN L.NERI, MD

Provider Business Mailing Address
First Line	:	14601 DETROIT AVE STE 730
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-4251
Country	:	US
Telephone Number	:	216-226-3577
Fax Number	:	216-226-3599

Provider Business Practice Location Address
First Line	:	14601 DETROIT AVE STE 730
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-4251
Country	:	US
Telephone Number	:	216-226-3577
Fax Number	:	216-226-3599

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GERMAN L NERI
Credential	:	M.D.
Telephone Number	:	216-226-3577

Provider Enumeration Date	:	10/18/2007
Last Update Date	:	10/18/2007

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