MEDICARE: ROBERT SAWICKI 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	2085R0202X	Diagnostic Radiology Physician	35032230	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00398045	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	0304914	OTHER	OH	BCMH
4	000000562753	OTHER	OH	ANTHEM
5	4090196	OTHER	OH	AETNA
6	000000238901	OTHER	OH	UNISON
7	736642	OTHER	OH	BUCKEYE

General Provider Information

NPI Number	:	1902826324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT SAWICKI MD

Provider Business Mailing Address
First Line	:	3605 WARRENSVILLE CENTER ROAD
Second Line	:	MSC9152
City	:	SHAKER HGTS
State	:	OH
Zip	:	44122
Country	:	US
Telephone Number	:	216-286-6299
Fax Number	:	216-286-6341

Provider Business Practice Location Address
First Line	:	11100 EUCLID AVENUE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106
Country	:	US
Telephone Number	:	419-627-2482
Fax Number	:

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	06/04/2008

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Directions to “ ROBERT SAWICKI MD” Practice Location

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