Ian Kletter, MD | |
29000 Center Ridge Rd, St John West Shore Hospital, Westlake, OH 44145-5293 | |
(440) 835-8000 | |
Not Available |
Full Name | Ian Kletter |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 35 Years |
Location | 29000 Center Ridge Rd, Westlake, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760476709 | NPI | - | NPPES |
2268559 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 35077854K (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North East Ohio Group Practice Llc | 8426960618 | 34 |
Entity Name | North East Ohio Group Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063575462 PECOS PAC ID: 8426960618 Enrollment ID: O20031105000352 |
Entity Name | Marymount Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720031131 PECOS PAC ID: 6507763661 Enrollment ID: O20031217000026 |
Mailing Address | Practice Location Address |
---|---|
Ian Kletter, MD 30680 Bainbridge Rd, Northeast Ohio Group Practice, Cleveland, OH 44139-2282 Ph: (440) 542-5023 | Ian Kletter, MD 29000 Center Ridge Rd, St John West Shore Hospital, Westlake, OH 44145-5293 Ph: (440) 835-8000 |
Swatantra L Adusumilli, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 25678 Woodpath Trl, Westlake, OH 44145 Phone: 440-734-5185 | |
Matthew H Evenhouse, MD General Practice Medicare: Medicare Enrolled Practice Location: 1991 Crocker Rd Ste 500, Westlake, OH 44145 Phone: 844-764-4633 Fax: 310-861-0855 | |
Dr. George K Mathew, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 29099 Health Campus Dr, Suite-230, Westlake, OH 44145 Phone: 440-835-6263 Fax: 440-892-6632 | |
Jerome Ngangana, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 29000 Center Ridge Rd, St John West Shore Hospital, Westlake, OH 44145 Phone: 440-835-8000 | |
Dr. John Robert Judge, General Practice Medicare: Not Enrolled in Medicare Practice Location: 23780 Wonneta Pkwy, Westlake, OH 44145 Phone: 440-871-8202 |