Provider Demographics
NPI:1578752200
Name:GERMAN L.NERI, MD
Entity Type:Organization
Organization Name:GERMAN L.NERI, MD
Other - Org Name:GERMAN L NERI, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:NERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-226-3577
Mailing Address - Street 1:14601 DETROIT AVE STE 730
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-4251
Mailing Address - Country:US
Mailing Address - Phone:216-226-3577
Mailing Address - Fax:216-226-3599
Practice Address - Street 1:14601 DETROIT AVE STE 730
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4251
Practice Address - Country:US
Practice Address - Phone:216-226-3577
Practice Address - Fax:216-226-3599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-032276173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000127968OtherANTHEM
OH100-38-4219-001OtherMEDICAL MUTUAL
OH000000127968OtherANTHEM SENIOR ADVANTAGE
OH352453OtherWELLCARE
OH0178918Medicaid
OH100-38-4219-00OtherCAREWORKS
OH100384219009OtherMEDICAL MUTUAL OF OHIO
OH100-38-4219-00OtherWORKERS COMPENSATION
OHCG4786OtherMEDICARE RAILROAD
OH352453OtherWELLCARE