Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 35-047761 | OH |
NPI | 1073532719 |
---|---|
Provider Name | Donald E Hricik |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 29/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000224281 | UNISON (01) | OH |
000000539567 | ANTHEM (01) | OH |
0496628 | (05) | OH |
0639790 | AETNA (01) | OH |
363649 | WELLCARE (01) | OH |
700006801 | RAILROAD MEDICARE (01) | OH |
741802 | BUCKEYE (01) | OH |
A15172 | (02) |