Provider Demographics
NPI:1558455329
Name:GARY B. KAPLAN, M.D.,INC
Entity Type:Organization
Organization Name:GARY B. KAPLAN, M.D.,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-946-0053
Mailing Address - Street 1:36001 EUCLID AVE
Mailing Address - Street 2:SUITE C6
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-4643
Mailing Address - Country:US
Mailing Address - Phone:440-946-0053
Mailing Address - Fax:440-946-1812
Practice Address - Street 1:35040 CHARDON RD
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-9006
Practice Address - Country:US
Practice Address - Phone:440-946-0053
Practice Address - Fax:440-946-1812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.054842207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0658702Medicaid
OH0658702Medicaid
OH0598049Medicare ID - Type UnspecifiedOHIO MEDICARE PROVIDER NU