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NPI Code Detail

MEDICARE: MARIA SALVACION L. NERI-NIXON MD

MEDICARE: MARIA SALVACION L. NERI-NIXON 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
1207R00000XInternal Medicine Physician35081963NOH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
39273172OTHERMEDICARE GROUP PHYSICIAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000541197OTHERANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629045810
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA SALVACION L. NERI-NIXON MD
Provider Business Mailing Address
First Line : 3110 VILLAGE GREEN DR
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-8900
Country : US
Telephone Number : 440-899-5555
Fax Number : 440-899-1140
Provider Business Practice Location Address
First Line : 30033 CLEMENS RD
Second Line : WL 10
City : WESTLAKE
State : OH
Zip : 44145-1021
Country : US
Telephone Number : 440-899-5555
Fax Number : 440-899-1140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 10/05/2011

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