Provider Demographics
NPI:1689726473
Name:MEDCARE OHIO, INC.
Entity Type:Organization
Organization Name:MEDCARE OHIO, INC.
Other - Org Name:CECILE S. MUEHRCKE M.D.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CECILE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MUEHRCKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-738-1818
Mailing Address - Street 1:503 E 200TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44119-1575
Mailing Address - Country:US
Mailing Address - Phone:216-738-1818
Mailing Address - Fax:216-738-1819
Practice Address - Street 1:503 E 200TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44119-1575
Practice Address - Country:US
Practice Address - Phone:216-738-1818
Practice Address - Fax:216-738-1819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCE9304481Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER