1083998363 NPI number — DR. NEIL ORZECH MD, MED

Table of content: DR. NEIL ORZECH MD, MED (NPI 1083998363)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083998363 NPI number — DR. NEIL ORZECH MD, MED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ORZECH
Provider First Name:
NEIL
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, MED
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083998363
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/04/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2376 KENILWORTH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLEVELAND HEIGHTS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44106-2719
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-370-2326
Provider Business Mailing Address Fax Number:
216-445-1586

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CLEVELAND CLINIC MAIN CAMPUS 9500 EUCLID AVE
Provider Second Line Business Practice Location Address:
M62 / OFFICE OF DR. PHILIP SCHAUER
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44195-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-444-4794
Provider Business Practice Location Address Fax Number:
216-445-1586
Provider Enumeration Date:
10/04/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  82551 , registered in the state of ZZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)