Provider Demographics
NPI:1033139712
Name:ONDERS, RAYMOND P (MD)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:P
Last Name:ONDERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:3 RD. FLOOR
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:216-286-6295
Mailing Address - Fax:216-286-6341
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-7874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-059392208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2010273Medicaid
OH363893OtherWELLCARE
OH738082OtherBUCKEYE
OHP00364280OtherRAILROAD MEDICARE
5843453OtherAETNA
OHP00120696OtherRAILROAD MEDICARE
OH000000220630OtherUNISON
000000503720OtherANTHEM
OH2010273Medicaid
OHP00364280OtherRAILROAD MEDICARE
OH738082OtherBUCKEYE
OH363893OtherWELLCARE
G53242Medicare UPIN