| Joel D. Weisblat, M.d., Inc. | |
|
3619 Park East Dr Suite 110 Beachwood OH 44122-4330 | |
| (216) 464-4646 | |
| (216) 464-4695 |
| Full Name | Joel D. Weisblat, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3619 Park East Dr, Beachwood, Ohio |
| Authorized Official Name and Position | Joel David Weisblat (PRESIDENT) |
| Authorized Official Contact | 2164644646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel D. Weisblat, M.d., Inc. 3619 Park East Dr Suite 110 Beachwood OH 44122-4330 Ph: (216) 464-4646 | Joel D. Weisblat, M.d., Inc. 3619 Park East Dr Suite 110 Beachwood OH 44122-4330 Ph: (216) 464-4646 |
| NPI Number | 1164477477 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6507844206 |
|---|---|
| Medicare Enrollment ID | O20040709000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164477477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35-064937 (Ohio) | Primary |
| Provider Name | Joel D Weisblat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437198264 PECOS PAC ID: 1658359369 Enrollment ID: I20040712000456 |
| Provider Name | Debra A Rozin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841249422 PECOS PAC ID: 2062409808 Enrollment ID: I20070130000136 |
| Provider Name | Robert Bruce Elson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174825244 PECOS PAC ID: 9830373992 Enrollment ID: I20110414000079 |
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