Provider Demographics
NPI:1346236817
Name:MEYERS, FARZANA A (MS, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:FARZANA
Middle Name:A
Last Name:MEYERS
Suffix:
Gender:F
Credentials:MS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:S80 - NEUROSURGERY
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-4318
Mailing Address - Fax:216-636-2040
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:S80 - NEUROSURGERY
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-4318
Practice Address - Fax:216-636-2040
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.002242363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA23211Medicare ID - Type Unspecified
Q20534Medicare UPIN