Provider Demographics
NPI:1326140864
Name:NEHEMIA HAMPEL MD, INC
Entity Type:Organization
Organization Name:NEHEMIA HAMPEL MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEHEMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMPEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-381-5888
Mailing Address - Street 1:14100 CEDAR RD STE 130
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44121-3219
Mailing Address - Country:US
Mailing Address - Phone:216-381-5888
Mailing Address - Fax:216-381-3123
Practice Address - Street 1:14100 CEDAR RD STE 130
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44121-3219
Practice Address - Country:US
Practice Address - Phone:216-381-5888
Practice Address - Fax:216-381-3123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-04
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35041685208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2858680Medicaid
OH2858680Medicaid
OHNE0480796Medicare ID - Type Unspecified