Anthony L Deross in Cleveland - Pediatric Surgery
Anthony L Deross - NPI 1992755540
Anthony L Deross is a Pediatric Surgery in Cleveland, Ohio. Anthony L Deross practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Anthony L Deross is 1992755540. The last update date is 2011-05-25.
Anthony L Deross's current location address is 11100 Euclid Ave, Cleveland, Ohio. You can contact this provider via phone number 2168447874. The mailing address for Anthony L Deross is 11100 Euclid Ave, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony L Deross |
|---|---|
| Address | 11100 Euclid Ave, Cleveland, Ohio |
| Phone Number | 2168447874 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1992755540 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2011-05-25 |
Provider Mailing Address Detail
| Address | 11100 Euclid Ave |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 4410617160 |
| Phone Number | 2168447874 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 229244 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3051852 | OH | -- | |
| 2122634 | MA | -- | |
| 1025751090001 | PA | -- |
Post Comment/ Review Below
What is the Anthony L Deross's 1992755540?
The Anthony L Deross's NPI (National Provider Identifier) Number is 1992755540. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Anthony L Deross is physically located?
The Anthony L Deross is physically situated at the following address: 11100 Euclid Ave, Cleveland, OH, 4410617160.
What is Anthony L Deross's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Anthony L Deross's specialized field of practice is Pediatric Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0120X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992755540 to Anthony L Deross?
The Anthony L Deross received its 1992755540 assignment from the Centers for Medicare & Medicaid Services on 2006-05-12.
When was the information pertaining to Anthony L Deross most recently updated or revised?
The details related to Anthony L Deross, including its address, specialty, and other relevant information, were last updated or revised on 2011-05-25.
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