MEDICARE: FAIRVIEW HOSPITAL

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	282N00000X	General Acute Care Hospital	330927	OH

General Provider Information

NPI Number	:	1932564416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAIRVIEW HOSPITAL

Provider Business Mailing Address
First Line	:	9000 LYMAN CT
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039-9759
Country	:	US
Telephone Number	:	440-554-3788
Fax Number	:

Provider Business Practice Location Address
First Line	:	9000 LYMAN CT
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039-9759
Country	:	US
Telephone Number	:	440-554-3788
Fax Number	:

Authorized Official
Title or Position	:	ANESTHESIOLOGIST
Name	:	DR. SABRY S. AYAD
Credential	:	M.D.
Telephone Number	:	216-476-7000

Provider Enumeration Date	:	12/28/2015
Last Update Date	:	12/28/2015

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Directions to “FAIRVIEW HOSPITAL ” Practice Location

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