Theodore K Brewer in Cleveland - Anesthesiologist Assistant
Theodore K Brewer - NPI 1407849375
Theodore K Brewer is a Anesthesiologist Assistant in Cleveland, Ohio. Theodore K Brewer practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Theodore K Brewer is 1407849375. The last update date is 2007-07-08.
Theodore K Brewer's current location address is 19250 Bagley Rd, Cleveland, Ohio. You can contact this provider via phone number 4408918800 and fax number 4408911734. The mailing address for Theodore K Brewer is 19250 Bagley Rd, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore K Brewer |
|---|---|
| Address | 19250 Bagley Rd, Cleveland, Ohio |
| Phone Number | 4408918800 |
| Fax Number | 4408911734 |
| Sole Proprietor | X |
| Credentials | AA-C |
NPI Number Detail
| NPI Number | 1407849375 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19250 Bagley Rd |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 441303314 |
| Phone Number | 4408918800 |
| Fax Number | 4408911734 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
| Licence No | 67-000032 |
|
Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 334911 | OH | ANTHEM BCBS | |
| 2253243 | OH | -- |
Post Comment/ Review Below
What is the Theodore K Brewer's 1407849375?
The Theodore K Brewer's NPI (National Provider Identifier) Number is 1407849375. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Theodore K Brewer?
The Theodore K Brewer is situated at 19250 Bagley Rd, in the city of Cleveland, state of OH, with the zip code 441303314.
What is Theodore K Brewer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Theodore K Brewer is Anesthesiologist Assistant, and the taxonomy classification code that categorizes this area of expertise is 367H00000X.
On what date did the Theodore K Brewer receive the assignment of its 1407849375 from the Centers for Medicare & Medicaid Services?
The Theodore K Brewer was issued its 1407849375 by the Centers for Medicare & Medicaid Services on 2005-08-25.
As of what date were the details related to Theodore K Brewer most recently updated or revised?
The information pertaining to Theodore K Brewer, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.