Provider Demographics
NPI:1629094370
Name:REMER, ERICA E (MD)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:E
Last Name:REMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 WARRENSVILLE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5203
Mailing Address - Country:US
Mailing Address - Phone:216-286-6883
Mailing Address - Fax:
Practice Address - Street 1:3999 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-6046
Practice Address - Country:US
Practice Address - Phone:216-593-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-066982207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00377285OtherMEDICARE RAILROAD
OH4613596OtherAETNA
OH0983968Medicaid
OH000000503562OtherANTHEM
OH363944OtherWELLCARE MEDICAID
OH000000221053OtherUNISON
OH749317OtherBUCKEYE MEDICAID
OHP00123663OtherRAILROAD MEDICARE
OHRE4105903Medicare PIN
OH4613596OtherAETNA
OHRE4105904Medicare PIN