Provider Demographics
NPI:1578509220
Name:SINGER, SCOTT E (MD MPH)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:E
Last Name:SINGER
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8555 SWEET VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44125-4254
Mailing Address - Country:US
Mailing Address - Phone:216-328-2240
Mailing Address - Fax:216-642-7945
Practice Address - Street 1:8555 SWEET VALLEY DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44125-4254
Practice Address - Country:US
Practice Address - Phone:216-328-2240
Practice Address - Fax:216-642-7945
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350606732083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0810662Medicaid
E76523Medicare UPIN
S10867689Medicare ID - Type Unspecified