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NPI Code Detail

MEDICARE: LEAH M BARMASSE PA-C

MEDICARE: LEAH M BARMASSE PA-C
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
1363A00000XPhysician Assistant50-000964OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00195702OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000336114OTHEROHANTHEM

General Provider Information

NPI Number : 1982693651
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH M BARMASSE PA-C
Provider Business Mailing Address
First Line : PO BOX 74253
Second Line :
City : CLEVELAND
State : OH
Zip : 44194-0002
Country : US
Telephone Number : 440-879-0081
Fax Number : 440-879-0084
Provider Business Practice Location Address
First Line : 18901 LAKE SHORE BLVD
Second Line :
City : EUCLID
State : OH
Zip : 44119-1078
Country : US
Telephone Number : 216-531-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 07/08/2007

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Directions to “ LEAH M BARMASSE PA-C” Practice Location

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