STEPHEN MARICICH (NPI# 1265512669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265512669 |
| Entity Type | Individual |
| Full Name | STEPHEN MARICICH |
| Credential | MD |
| Practice Address |
10900 Euclid Avenue Case Western Reserve University Som Room E750i Cleveland OH 44106 |
| Mailing Address |
24701 Euclid Ave 3rd Floor Euclid OH 44117-1714 |
| Practice Telephone | 2163682194 |
| Practice Fax Number | 2163684650 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
35-091986 | OH | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
M3010 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2842651 | 05 | |
| TX | 179389501 | 05 |
| Street Address |
10900 EUCLID AVENUE CASE WESTERN RESERVE UNIVERSITY SOM ROOM E750I |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336777440 | Andrew David Katz | Psychologist | 10900 Euclid Avenue, 220 Sears Library, University Health & Counseling Svcs, Cleveland, OH 44106 | 2020-04-01 |
| 1003384132 | Fabio Rizzante | Dentist | 10900 Euclid Avenue, Dept of Comprehensive Care - School of Dental Medicine, Cleveland, OH 44106-4905 | 2018-11-07 |
| 1538612817 | Manhal Eliliwi | Student in an Organized Health Care Education/Training Program | 10900 Euclid Avenue, Cleveland, OH 44106-4905 | 2016-08-03 |
| 1649652793 | Tayyaba Ahmed | Student in an Organized Health Care Education/Training Program | 10900 Euclid Avenue, Cleveland, OH 44106-4905 | 2015-06-25 |
| 1689960387 | Poonam Solanki | Dentist | 10900 Euclid Avenue, Cleveland, OH 44106-4905 | 2011-06-22 |
| 1962536144 | Thomas Mallon Daniel | Internal Medicine | 10900 Euclid Avenue, Cwru Center for Global Health, Cleveland, OH 44106-7286 | 2007-03-16 |
| 1154498806 | Benjamin Lawrence Schechter | Dentist | 10900 Euclid Avenue, Dental Medicine D0a09f, Cleveland, OH 44106-4905 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477728517 | Ahsan Moosa Naduvil Valappil | Psychiatry & Neurology | 2680 N Moreland Blvd, Apt 605, Cleveland, OH 44120-1472 | 2008-04-29 |
| 1881094142 | David Francois-xavier Dufresne | Psychiatry & Neurology | 9500 Euclid Ave, Epilepsy Center, Cleveland, OH 44195-0001 | 2014-08-23 |
| 1942640842 | Stephen Steiner | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106 | 2013-06-25 |
| 1902198104 | Jennifer Leigh Waldron | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2011-05-05 |
| 1437333515 | Jun Tae Park | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2007-12-24 |
| 1154501989 | Dararat Mingbunjerdsuk | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2007-11-08 |
| 1215142674 | Elia Margarita Pestana Knight | Psychiatry & Neurology | 9500 Euclid Ave, Cleveland, OH 44195-1716 | 2007-05-11 |
| 1962616730 | Asim Mohammad Shahid | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2007-05-10 |
| 1295803641 | Elie Rizkala | Psychiatry & Neurology | 2500 Metrohealth Dr, Mhmc-pediatrics, Cleveland, OH 44109-1900 | 2006-12-02 |
| 1922021971 | Deborah Rukin Gold | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-25 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.