Provider Demographics
NPI:1639372261
Name:MASSIER, ANAMARIA (MD)
Entity Type:Individual
Prefix:
First Name:ANAMARIA
Middle Name:
Last Name:MASSIER
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 1:30033 CLEMENS RD
Mailing Address - Street 2:WL-10
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1021
Mailing Address - Country:US
Mailing Address - Phone:440-899-5555
Mailing Address - Fax:216-529-7539
Practice Address - Street 1:14519 DETROIT AVE
Practice Address - Street 2:SUITE 118
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4316
Practice Address - Country:US
Practice Address - Phone:216-227-2469
Practice Address - Fax:216-529-7539
Is Sole Proprietor?:No
Enumeration Date:2007-06-10
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.090107207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00722827OtherRAILROAD MEDICARE
000000573575OtherANTHEM
OH2944881Medicaid
OH2944881Medicaid