Edward John Gaydos, DO | |
6559 Wilson Mills Rd, Bldg D Suite 101, Mayfield Village, OH 44143-6402 | |
(440) 473-0010 | |
(440) 460-2812 |
Full Name | Edward John Gaydos |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 6559 Wilson Mills Rd, Mayfield Village, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164423331 | NPI | - | NPPES |
000000025802 | Other | OH | UNICARE LIFE AND HEALTH |
0812213 | Medicaid | OH | |
K04907 | Other | OH | SUMMACARE HEALTH PLAN |
386527 | Other | OH | WELLCARE |
000000025802 | Other | OH | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 34004907 (Ohio) | Primary |
Entity Name | The Cleveland Clinic Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Mailing Address | Practice Location Address |
---|---|
Edward John Gaydos, DO 1346 Ledgewood Dr, Akron, OH 44333-1154 Ph: (330) 670-0442 | Edward John Gaydos, DO 6559 Wilson Mills Rd, Bldg D Suite 101, Mayfield Village, OH 44143-6402 Ph: (440) 473-0010 |
Shelly Debbie Pesick-caine, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6559 Wilson Mills Rd, Bldg D Suite 101, Mayfield Village, OH 44143 Phone: 440-473-0010 Fax: 440-460-2812 | |
Dr. James John Posch, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6490 Foxboro Dr, Mayfield Village, OH 44143 Phone: 440-461-9748 | |
Gina Myisha Robinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6559 Wilson Mills Rd, Bldg D Suie 101, Mayfield Village, OH 44143 Phone: 440-473-0010 Fax: 440-460-2812 |