Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35-084687 | OH |
NPI | 1437177730 |
---|---|
Provider Name | Robert Jones |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 27/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000210976 | UNISON (01) | OH |
000000503614 | ANTHEM (01) | OH |
1018808350001 | (05) | PA |
2506569 | (05) | OH |
414983 | WELLCARE (01) | OH |
750660 | BUCKEYE (01) | OH |
7670605 | AETNA (01) | OH |
I11105 | (02) | |
P00141225 | MCR RR (01) | OH |
P00358797 | RAIL ROAD MEDICARE (01) | OH |