Susan R Wiersma in Cleveland - Pediatric Hematology-oncology
Susan R Wiersma - NPI 1356362776
Susan R Wiersma is a Pediatric Hematology-oncology in Cleveland, Ohio. Susan R Wiersma practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for Susan R Wiersma is 1356362776. The last update date is 2008-10-01.
Susan R Wiersma's current location address is 11100 Euclid Ave, Cleveland, Ohio. You can contact this provider via phone number 2168447700 and fax number 2162866341. The mailing address for Susan R Wiersma is 11100 Euclid Ave, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan R Wiersma |
|---|---|
| Address | 11100 Euclid Ave, Cleveland, Ohio |
| Phone Number | 2168447700 |
| Fax Number | 2162866341 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356362776 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2008-10-01 |
Provider Mailing Address Detail
| Address | 11100 Euclid Ave |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 441061716 |
| Phone Number | 2168447700 |
| Fax Number | 2162866341 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Hematology-oncology |
|---|---|
| Taxonomy | 2080P0207X |
| Licence No | 35-051050 |
|
Definition: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 742534 | OH | BUCKEYE | |
| 200206560A | OK | OK MEDICAID | |
| 2056126 | OH | -- | |
| 364131 | OH | WELLCARE | |
| 221140 | OH | UNISON | |
| 27183 | OH | ANTHEM | |
| 526169 | OH | ANTHEM | |
| 2056126 | OH | BCMH | |
| 2093513 | OH | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Susan R Wiersma by the Centers for Medicare & Medicaid Services (CMS)?
The Susan R Wiersma has been assigned the NPI (National Provider Identifier) 1356362776. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Susan R Wiersma is physically located?
The Susan R Wiersma is situated at the following address: 11100 Euclid Ave, Cleveland, OH 441061716.
What is Susan R Wiersma's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan R Wiersma is Pediatric Hematology-oncology, and the corresponding taxonomy classification code for this specialized field is 2080P0207X.
On what date did the Susan R Wiersma receive its 1356362776 assignment from the Centers for Medicare & Medicaid Services?
The Susan R Wiersma was assigned its 1356362776 by the Centers for Medicare & Medicaid Services on 2006-07-21.
When was the information related to Susan R Wiersma most recently updated or refreshed?
The details pertaining to the Susan R Wiersma, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-10-01.
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