Provider Demographics
NPI:1831117282
Name:SPLAWSKI, JUDY B (MD)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:B
Last Name:SPLAWSKI
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 1:24701 EUCLID AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-7700
Practice Address - Fax:216-286-6341
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0789772080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000221337OtherUNISON
OH2466881OtherAETNA
OH730978OtherBUCKEYE
PA1008944060001OtherPA MEDICAID
OH2237378OtherBCMH
OH364037OtherWELLCARE
OH2237378Medicaid
OH000000526131OtherANTHEM
OH000000189589OtherANTHEM
OH2237378Medicaid
OH2466881OtherAETNA
OH364037OtherWELLCARE
OHE80737Medicare UPIN