Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 35-008323 | OH |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 35088232 | OH |
NPI | 1093739641 |
---|---|
Provider Name | Anna A Hibbs |
First Address | Euclid, OH 44117 |
Second Address | Cleveland, OH 44106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 06/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221119 | UNISON (01) | OH |
000000526029 | ANTHEM (01) | OH |
1017980840001 | PA MEDICAID (01) | PA |
2682119 | (05) | OH |
2682119 | BCMH (01) | OH |
363636 | WELLCARE (01) | OH |
737658 | BUCKEYE (01) | OH |
7937833 | AETNA (01) | OH |