Jonathan M Fanaroff, MD | |
11100 Euclid Ave, Cleveland, OH 44106-1716 | |
(216) 844-7700 | |
(216) 286-6341 |
Full Name | Jonathan M Fanaroff |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 11100 Euclid Ave, Cleveland, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154349074 | NPI | - | NPPES |
000000525952 | Other | OH | ANTHEM |
733798 | Other | OH | BUCKEYE |
000000221320 | Other | OH | UNISON |
1017390000001 | Other | OH | PA MEDICAID |
2372105 | Medicaid | OH | |
7914428 | Other | OH | AETNA |
363518 | Other | OH | WELLCARE |
000000257656 | Other | OH | ANTHEM |
2372105 | Other | OH | BCMH |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Mailing Address | Practice Location Address |
---|---|
Jonathan M Fanaroff, MD 24701 Euclid Ave, 3rd Floor, Euclid, OH 44117-1714 Ph: () - | Jonathan M Fanaroff, MD 11100 Euclid Ave, Cleveland, OH 44106-1716 Ph: (216) 844-7700 |
Keshava Murthy Narayana Gowda, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # M-14, Cleveland, OH 44195 Phone: 216-212-3601 | |
Dr. Aditi Yadav, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-445-5686 Fax: 216-636-0009 | |
Dominic Cercone, Pediatrics Medicare: Medicare Enrolled Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-1000 | |
Dr. Reshma Raj, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-5394 | |
Mary Nock, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11100 Euclid Avenue, Cleveland, OH 44106 Phone: 216-844-7700 | |
Michelle M Marks, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273 | |
Anne Stormorken, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11100 Euclid Avenue, Cleveland, OH 44106 Phone: 216-844-7700 |