Provider Demographics
NPI:1093739641
Name:HIBBS, ANNA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA MARIA
Middle Name:
Last Name:HIBBS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11100 EUCLID AVE STE 3100
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1716
Mailing Address - Country:US
Mailing Address - Phone:216-844-3387
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVENUE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-844-7700
Practice Address - Fax:216-844-3380
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-008323207L00000X
OH35-008232207LP3000X
OH35.0882322080N0001X
OH350882322080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH363636OtherWELLCARE
OH7937833OtherAETNA
OH2682119Medicaid
OH2682119OtherBCMH
OH000000526029OtherANTHEM
OH737658OtherBUCKEYE
OH000000221119OtherUNISON
PA1017980840001OtherPA MEDICAID
OH2682119OtherBCMH