Provider Demographics
NPI:1013914100
Name:ARAIZA, BEATRIX DAGMAR (MD)
Entity Type:Individual
Prefix:
First Name:BEATRIX
Middle Name:DAGMAR
Last Name:ARAIZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BEATRIX
Other - Middle Name:DAGMAR
Other - Last Name:OUICKERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3700 PARK EAST DR
Mailing Address - Street 2:SUIT 300
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4399
Mailing Address - Country:US
Mailing Address - Phone:855-292-1401
Mailing Address - Fax:866-396-8340
Practice Address - Street 1:3700 PARK EAST DR
Practice Address - Street 2:SUITE 300
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4399
Practice Address - Country:US
Practice Address - Phone:855-292-1401
Practice Address - Fax:866-396-8340
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME753512085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
43401OtherBCBS
KY7100091260Medicaid
300138468OtherRRNUM
SCQ75351Medicaid
CA1013914100Medicaid
DC048775300Medicaid
FL254634500Medicaid
FL262433800Medicaid
MD323208500Medicaid
PA102338070Medicaid
OH2761425Medicaid
ID808324000Medicaid
MD323208500Medicaid
PA102338070Medicaid
ID808324000Medicaid
CA1013914100Medicaid
FL262433800Medicaid