Provider Demographics
NPI:1811099542
Name:CERNY-SUELZER, CATHLEEN ANNE (MD)
Entity type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:ANNE
Last Name:CERNY-SUELZER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:A
Other - Last Name:CERNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8055 MAYFIELD RD STE 105
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-2447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10524 EUCLID AVE # WALKER8
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-2205
Practice Address - Country:US
Practice Address - Phone:216-844-7503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0855552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00810361OtherMEDICARE RAILROAD
OH363404OtherWELLCARE MEDICAID
OH000000532966OtherANTHEM
P00342406OtherRAILROAD MEDICARE
OH000000224405OtherUNISON
OH2703677Medicaid
OH7855418OtherAETNA
OHP00810361OtherMEDICARE RAILROAD
P00342406OtherRAILROAD MEDICARE
OH7855418OtherAETNA