Provider Demographics
NPI:1700940988
Name:ARONSON, SARAH CYMRY (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:CYMRY
Last Name:ARONSON
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 1:19815 SHELBURNE RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4961
Mailing Address - Country:US
Mailing Address - Phone:410-603-5607
Mailing Address - Fax:
Practice Address - Street 1:19815 SHELBURNE RD
Practice Address - Street 2:
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-4961
Practice Address - Country:US
Practice Address - Phone:410-603-5607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0796862084P0800X
PAMD-064893-L207L00000X
MD69641207L00000X
OH79686207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0150223Medicaid
OH0150223Medicaid
OH36-4031Medicare ID - Type Unspecified