Provider Demographics
NPI:1447425186
Name:T ARTHUR-MENSAH M D INC
Entity Type:Organization
Organization Name:T ARTHUR-MENSAH M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:L'TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTHUR-MENSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-934-2311
Mailing Address - Street 1:5343 MEADOW LANE CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:SHEFFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1469
Mailing Address - Country:US
Mailing Address - Phone:440-934-2311
Mailing Address - Fax:440-934-2801
Practice Address - Street 1:5343 MEADOW LANE CT
Practice Address - Street 2:SUITE B
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44035-1469
Practice Address - Country:US
Practice Address - Phone:440-934-2311
Practice Address - Fax:440-934-2801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2943917Medicaid
OH9375981Medicare PIN