Provider Demographics
NPI:1639254626
Name:CARDIOVASCULAR ASSOCIATES OF CLEVELAND, INC
Entity Type:Organization
Organization Name:CARDIOVASCULAR ASSOCIATES OF CLEVELAND, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:SETH
Authorized Official - Last Name:SCHARFSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-449-8890
Mailing Address - Street 1:6801 MAYFIELD RD
Mailing Address - Street 2:SUITE 444
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2270
Mailing Address - Country:US
Mailing Address - Phone:440-449-8890
Mailing Address - Fax:440-449-7580
Practice Address - Street 1:6801 MAYFIELD RD
Practice Address - Street 2:SUITE 444
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2270
Practice Address - Country:US
Practice Address - Phone:440-449-8890
Practice Address - Fax:440-449-7580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2181615Medicaid
OH=========-00OtherBWC
OH9309433Medicare PIN