Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35-087980 | OH |
N | 2080P0204X | Pediatric Emergency Doctor | 35-087980 | OH |
Y | 2080P0205X | Pediatric Endocrinologist | 35-087980 | OH |
NPI | 1306870084 |
---|---|
Provider Name | Beth A Kaminski |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 19/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221081 | UNISON (01) | OH |
000000526033 | ANTHEM (01) | OH |
1018331380001 | PA MEDICAID (01) | PA |
2687043 | (05) | OH |
363680 | WELLCARE (01) | OH |
750677 | BUCKEYE (01) | OH |
7645784 | AETNA (01) | OH |
I55271 | (02) | OH |