Provider Demographics
NPI:1356526461
Name:DONALD L. EPSTEIN, MD, INC.
Entity type:Organization
Organization Name:DONALD L. EPSTEIN, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-684-9500
Mailing Address - Street 1:1450 SOM CENTER ROAD
Mailing Address - Street 2:ROOM 28
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124
Mailing Address - Country:US
Mailing Address - Phone:440-684-9500
Mailing Address - Fax:440-685-1115
Practice Address - Street 1:1450 SOM CENTER RD
Practice Address - Street 2:ROOM 28
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2118
Practice Address - Country:US
Practice Address - Phone:440-684-9500
Practice Address - Fax:440-685-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-04-0595282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access