Carolyn M Kercsmar
Pediatric Pulmonologist
11100 Euclid Ave
Cleveland
, Ohio 44106-1716
Carolyn M Kercsmar
Pediatric Pulmonologist
11100 Euclid Ave
Cleveland
, Ohio 44106-1716
(216) 286-6341
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About
Features
Specialties
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Carolyn M Kercsmar
- 3605 Warrensville Center Rd
- Shaker Heights, OH
- Zip : 44122-5203
- Fax : (216) 286-6341
- Phone : (216) 286-6299
Second Address
- Carolyn M Kercsmar
- 11100 Euclid Ave
- Cleveland, OH
- Zip : 44106-1716
- Fax : (216) 286-6341
- Phone : (216) 844-7700
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Is Carolyn M Kercsmar a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0214X | Pediatric Pulmonologist | 35-046322 | OH |
National Provider Identifier
| NPI | 1538186507 |
|---|---|
| Provider Name | Carolyn M Kercsmar |
| First Address | Shaker Heights, OH 44122-5203 |
| Second Address | Cleveland, OH 44106-1716 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2006 |
| Last Update Date | 14/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000028168 | ANTHEM (01) | OH |
| 000000526034 | ANTHEM (01) | OH |
| 0496486 | (05) | OH |
| 496486 | BCMH (01) | OH |
| 639844 | AETNA (01) | OH |
| A80632 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.