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NPI Code Detail

MEDICARE: ANDREA PAIGE PEARSALL

MEDICARE: ANDREA PAIGE PEARSALL
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
12086S0127XTrauma Surgery Physician50.009833RXOH

General Provider Information

NPI Number : 1992540314
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA PAIGE PEARSALL
Provider Business Mailing Address
First Line : 10900 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-4901
Country : US
Telephone Number : 216-368-0575
Fax Number :
Provider Business Practice Location Address
First Line : 10900 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-4901
Country : US
Telephone Number : 216-368-0575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2024
Last Update Date : 11/13/2025

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Directions to “ ANDREA PAIGE PEARSALL ” Practice Location

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