Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 35-050860 | OH |
NPI | 1497775159 |
---|---|
Provider Name | Mark I Aeder |
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 | 11/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221062 | UNISON (01) | OH |
000000503712 | ANTHEM (01) | |
1025620300001 | (05) | PA |
2500556 | (05) | OH |
363300 | WELLCARE (01) | OH |
4301728 | AETNA (01) | |
743533 | BUCKEYE (01) | OH |
E08041 | (02) | |
P00163613 | RAILROAD MEDICARE (01) | OH |
P00411225 | RAILROAD MEDICARE (01) | OH |