Unknown Individual – Emergency Medicine Physician, NPI 1164482535
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Lake County Memorial Hospital West, 36000, Euclid Avenue, Concord Mobile Home Park, Willoughby, Lake County, Ohio, 44094, United States
WILLOUGHBY, OH 44094
Phone: (440) 953-6203
Fax: (440) 953-6202
Type: Location
8663, Hollis Lane, Bradford Village, Brecksville, Cuyahoga County, Ohio, 44141, United States
BRECKSVILLE, OH 44141
Phone: (440) 526-5471
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44094)
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