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1639193667

NPI Code Detail

MEDICARE: ERIC H NAKANISHI MD

MEDICARE: ERIC H NAKANISHI 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	207L00000X	Anesthesiology Physician	35-063426	OH
2	207L00000X	Anesthesiology Physician	0101241745	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00383077	OTHER	OH	MEDICARE RAILROAD
9	P00364277	OTHER	OH	RAILROAD MEDICARE

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000209122	OTHER	OH	UNISON
5	000000503572	OTHER	OH	ANTHEM
6	4616193	OTHER	OH	AETNA
7	000000516052	OTHER	OH	ANTHEM
8	221147	OTHER	OH	UNISON

General Provider Information

NPI Number	:	1639193667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC H NAKANISHI MD

Provider Business Mailing Address
First Line	:	3605 WARRENSVILLE CENTER RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5203
Country	:	US
Telephone Number	:	216-286-6260
Fax Number	:	216-286-6341

Provider Business Practice Location Address
First Line	:	1500 COMMONWEALTH AVE
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-5229
Country	:	US
Telephone Number	:	757-585-2000
Fax Number	:

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	04/13/2026

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Directions to “ ERIC H NAKANISHI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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