Mr John Gerard Idzakovich Jr, MS, RN | |
11100 Euclid Ave, Cleveland, OH 44106-1716 | |
(216) 844-5437 | |
Not Available |
Full Name | Mr John Gerard Idzakovich Jr |
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Gender | Male |
Speciality | Registered Nurse - Neonatal Intensive Care |
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 |
---|---|---|---|
1801461793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN.CNP.0029344 (Ohio) | Secondary |
163WN0002X | Registered Nurse - Neonatal Intensive Care | RN.446630 (Ohio) | Primary |
Entity Name | University Hospitals Medical Group Inc |
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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 |
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Mr John Gerard Idzakovich Jr, MS, RN 730 Thurber Dr W Apt H, Columbus, OH 43215-1209 Ph: (937) 572-8847 | Mr John Gerard Idzakovich Jr, MS, RN 11100 Euclid Ave, Cleveland, OH 44106-1716 Ph: (216) 844-5437 |
Rhonda Kocinski, CNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Ms. Laura Rhodes, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Avenue, Cleveland, OH 44195 Phone: 216-445-8878 | |
Jennifer Lynn Parry, RN, CPNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-983-5691 | |
Ms. Monique Yvette Allen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 934 E 150th St, Cleveland, OH 44110 Phone: 216-333-0531 | |
Mrs. Rachel Michelle Hernandez, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10701 East Blvd, Cleveland, OH 44106 Phone: 216-791-3800 | |
Mary Reville, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10700 Churchill Ave, Cleveland, OH 44106 Phone: 216-791-2496 | |
Tammy Youngblood-trent, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2500 E 22nd St, Cleveland, OH 44115 Phone: 216-931-1400 |