| Richard Arnold Nelson, MD | |
|
14519 Detroit Avenue, Lakewood, OH 44107-4316 | |
| (216) 521-4200 | |
| Not Available |
| Full Name | Richard Arnold Nelson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 14519 Detroit Avenue, Lakewood, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427099027 | NPI | - | NPPES |
| 942460636263 | Other | OH | CARESOURCE |
| 010044041 | Other | OH | MEDICARE TRAVELERS RR-GA |
| 1427099027 | Medicaid | MI | |
| 0876879 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35057444N (Ohio) | Primary |
| Entity Name | Emergency Professional Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Arnold Nelson, MD 24701 Euclid Ave, 3rd Floor, Euclid, OH 44117-1714 Ph: () - | Richard Arnold Nelson, MD 14519 Detroit Avenue, Lakewood, OH 44107-4316 Ph: (216) 521-4200 |
Steven Carl Blaha, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 | |
Charles Richardson Cowap, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 | |
Otis Mark Hastings, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 | |
Brandon John Parker, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 | |
Virginia Ann Evans, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 |