MARY NOCK MD NPI 1003805508

NPI Information

NPI: 1003805508
Provider Name: MARY NOCK, MD
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

Address:
11100 EUCLID AVENUE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-7700
Get Directions

Mary Nock, MD is a neonatal-perinatal medicine pediatrics in Cleveland, OH. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Mary Nock, MD NPI is 1003805508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11100 EUCLID AVENUE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-7700

The enumeration date for this NPI number is 10/18/2005 and was last updated on 7/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207LP3000X	Anesthesiology	Pediatric Anesthesiology	35-076430	OHIO	No
2	208000000X	Pediatrics		35076430	OHIO	No
3	207L00000X	Anesthesiology		35-076430	OHIO	No
4	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	35076430	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000526112	OTHER	OHIO	ANTHEM
2	H17681	MEDICARE UPIN
3	2195360	MEDICAID	OHIO
4	363880	OTHER	OHIO	WELLCARE
5	7336138	OTHER	OHIO	AETNA
6	N07324711	MEDICARE ID-TYPE UNSPECIFIED	OHIO
7	2195360	OTHER	OHIO	BCMH
8	NO4023662	MEDICARE PIN	OHIO
9	000000221257	OTHER	OHIO	UNISON
10	1018331740001	OTHER	PENNSYLVANIA	PA MEDICAID
11	745959	OTHER	OHIO	BUCKEYE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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