MEDICARE: DEREK LEROY MIDDLETON JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	374U00000X	Home Health Aide
2	376K00000X	Nurse's Aide
3	374U00000X	Home Health Aide	OH

General Provider Information

NPI Number	:	1730939257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEREK LEROY MIDDLETON JR.

Provider Business Mailing Address
First Line	:	1447 LARCHMONT RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-2813
Country	:	US
Telephone Number	:	216-857-9555
Fax Number	:

Provider Business Practice Location Address
First Line	:	1447 LARCHMONT RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-2813
Country	:	US
Telephone Number	:	216-857-9555
Fax Number	:

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

Provider Enumeration Date	:	03/26/2024
Last Update Date	:	03/26/2024

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