Provider Demographics
NPI:1659595197
Name:HUNTER, MARIA JEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:JEAN
Last Name:HUNTER
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 1:22575 DOUGLAS RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-2060
Mailing Address - Country:US
Mailing Address - Phone:216-896-0034
Mailing Address - Fax:216-368-8350
Practice Address - Street 1:2145 ADELBERT RD
Practice Address - Street 2:CWRU HEALTH SERVICES
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-2624
Practice Address - Country:US
Practice Address - Phone:216-368-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-06-8932207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0282475Medicaid
OH35-06-8932OtherOHIO LICENSE #
OH35-06-8932OtherOHIO LICENSE #