| Cuyahoga Physician Network | |
|
2322 East 22nd St Suite 207 Cleveland PA 44145 | |
| (216) 592-2801 | |
| (216) 592-2811 |
| Full Name | Cuyahoga Physician Network |
|---|---|
| Speciality | Surgery |
| Location | 2322 East 22nd St, Cleveland, Pennsylvania |
| Authorized Official Name and Position | Misty A Blaylock (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4408926406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cuyahoga Physician Network 26908 Detroit Rd Suite 301 Westlake OH 44145-2398 Ph: (440) 617-1823 | Cuyahoga Physician Network 2322 East 22nd St Suite 207 Cleveland PA 44145 Ph: (216) 592-2801 |
| NPI Number | 1780866467 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 01/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780866467 | NPI | - | NPPES |
| 0251856 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |