Unknown Individual – General Practice Physician, NPI 1568453140
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 74253
CLEVELAND, OH 441940002
Phone: (440) 879-0081
Fax: (440) 879-0084
Type: Mailing
18901, Lake Shore Boulevard, Euclid, Cuyahoga County, Ohio, 44119, United States
EUCLID, OH 441191078
Phone: (216) 531-9000
Type: Location
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 44194)
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