Matthew David Kellems, MD | |
11100 Euclid Ave, Cleveland, OH 44106 | |
(216) 844-7330 | |
Not Available |
Full Name | Matthew David Kellems |
---|---|
Gender | Male |
Speciality | Anesthesiology |
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 |
---|---|---|---|
1538370028 | NPI | - | NPPES |
P00662779 | Other | OH | MEDICARE RAILROAD |
0055847 | Medicaid | OH | |
2853489 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 57.008961 (Ohio) | Secondary |
207L00000X | Anesthesiology | 35091034 (Ohio) | Primary |
Entity Name | The Metrohealth System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
Entity Name | Southwest Ohio Anesthesia Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
Mailing Address | Practice Location Address |
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Matthew David Kellems, MD 24701 Euclid Ave, 3rd Floor, Euclid, OH 44117-1714 Ph: () - | Matthew David Kellems, MD 11100 Euclid Ave, Cleveland, OH 44106 Ph: (216) 844-7330 |
Lacey Ann Haugen, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave Dept Of, Cleveland, OH 44195 Phone: 216-444-4674 Fax: 216-445-2536 | |
Matthew Serna, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave # Na-23, Cleveland, OH 44195 Phone: 216-444-2200 | |
Mr. Marc Vincent Manacci, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-3722 | |
Martin V Grady, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273 | |
Dr. Kenward Yue, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, J4-331, Cleveland, OH 44195 Phone: 216-444-4674 | |
Dr. Mikhal Monson, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-1000 | |
Berta Leisy Stroud, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-0660 Fax: 216-444-7360 |