MEDICARE: BRIAN NEMUNAITIS D.O.

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	207VX0000X	Obstetrics Physician	34005876	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

General Provider Information

NPI Number	:	1588635809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN NEMUNAITIS D.O.

Provider Business Mailing Address
First Line	:	5 SEVERANCE CIR
Second Line	:	SUITE 304
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-1566
Country	:	US
Telephone Number	:	216-761-7281
Fax Number	:	216-761-7257

Provider Business Practice Location Address
First Line	:	5 SEVERANCE CIR
Second Line	:	SUITE 304
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-1566
Country	:	US
Telephone Number	:	216-761-7281
Fax Number	:	216-761-7257

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	07/12/2011

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Directions to “ BRIAN NEMUNAITIS D.O.” Practice Location

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