Jonathan M Fanaroff
MD | Pediatric Neonatal-Perinatal Medicine | Male
Jonathan M Fanaroff, MD is a Cleveland, Ohio based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Jonathan M Fanaroff is
11100 Euclid Ave, Cleveland, Ohio - 44106-1716. He can be contacted on phone at
216-844-7700 and fax number 216-286-6341.
Jonathan M Fanaroff is a sole proprietor of his business.
NPI number (Unique professional ID) for Jonathan M Fanaroff is
1154349074 which was assigned by NPPES on 18 Jul, 2006 and it was last updated on 05 Jul, 2011.
Jonathan M Fanaroff license number is
35-081809 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Ohio.
Jonathan M Fanaroff is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Jonathan M Fanaroff basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Jonathan M Fanaroff |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jonathan M Fanaroff address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11100 Euclid Ave
Cleveland, OH, 44106-1716
United States |
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| Phone Number : | 216-844-7700 |
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| Fax Number : | 216-286-6341 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1154349074 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Jul, 2006 |
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| Last Updated On : | 05 Jul, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jonathan M Fanaroff are as mentioned. Primary taxonomy code for Jonathan M Fanaroff, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207LP3000X | Anesthesiology Pediatric Anesthesiology | No | 35-081809 | OH |
| 207L00000X | Anesthesiology | No | 35-081809 | OH |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 35-081809 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Jonathan M Fanaroff such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 363518 | Other | OH | WELLCARE |
| 000000525952 | Other | OH | ANTHEM |
| 2372105 | MEDICAID | OH | |
| 7914428 | Other | OH | AETNA |
| 733798 | Other | OH | BUCKEYE |
| 000000221320 | Other | OH | UNISON |
| 000000257656 | Other | OH | ANTHEM |
| 1017390000001 | Other | OH | PA MEDICAID |
| 2372105 | Other | OH | BCMH |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 24701 Euclid Ave, 3rd Floor
Euclid, OH, 44117-1714
United States |
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Business Location:
Patients can refer following map for directions to
Jonathan M Fanaroff practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.