Provider Demographics
NPI:1982998134
Name:HAYES, ERIKA (AA)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:AA
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:SWANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AA
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-9604
Mailing Address - Country:US
Mailing Address - Phone:216-444-2200
Mailing Address - Fax:216-636-2043
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-9604
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:216-636-2043
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH67.000182367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0058648Medicaid
OHESH002230Medicare PIN