| Diane Eden, Md & Associates, Inc. | |
|
34900 Chardon Rd. Suite 200 Willoughby Hills OH 44094-9019 | |
| (440) 951-5600 | |
| (440) 951-1293 |
| Full Name | Diane Eden, Md & Associates, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 34900 Chardon Rd., Willoughby Hills, Ohio |
| Authorized Official Name and Position | Diane H Eden (PRESIDENT) |
| Authorized Official Contact | 4409515600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Eden, Md & Associates, Inc. 34900 Chardon Rd. Suite 200 Willoughby Hills OH 44094-9019 Ph: (440) 951-5600 | Diane Eden, Md & Associates, Inc. 34900 Chardon Rd. Suite 200 Willoughby Hills OH 44094-9019 Ph: (440) 951-5600 |
| NPI Number | 1760449813 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 06/17/2016 |
| Medicare PECOS PAC ID | 5092704486 |
|---|---|
| Medicare Enrollment ID | O20040511000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760449813 | NPI | - | NPPES |
| Provider Name | Shari N Ridge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700849536 PECOS PAC ID: 3870489610 Enrollment ID: I20040428000511 |
| Provider Name | William H Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043274764 PECOS PAC ID: 0042200966 Enrollment ID: I20040513000940 |
| Provider Name | Diane H Eden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720052772 PECOS PAC ID: 1254227093 Enrollment ID: I20040513001070 |
| Provider Name | Louise J Gottlob |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104888569 PECOS PAC ID: 9739179680 Enrollment ID: I20040513001112 |
| Provider Name | Erika A Nathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174675516 PECOS PAC ID: 9436130275 Enrollment ID: I20040527000000 |
| Provider Name | Beth Sipple |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144418823 PECOS PAC ID: 5294756904 Enrollment ID: I20051209000159 |
| Provider Name | Christopher C James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790996726 PECOS PAC ID: 1658464706 Enrollment ID: I20070905000394 |
| Provider Name | Tina W Bulucea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447453907 PECOS PAC ID: 9537345319 Enrollment ID: I20110511000581 |
| Provider Name | Mark J Hawrylo Ii |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033190236 PECOS PAC ID: 9234302738 Enrollment ID: I20111028000142 |
| Provider Name | Stephanie M Pope |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275846669 PECOS PAC ID: 5092023978 Enrollment ID: I20150925000857 |
| Provider Name | John Spiesman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740264787 PECOS PAC ID: 9638454242 Enrollment ID: I20170322002024 |
| Provider Name | Patricia Sinclair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306176557 PECOS PAC ID: 4082977681 Enrollment ID: I20180412002258 |
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