AVROY A FANAROFF MD NPI 1124137476

NPI Information

NPI: 1124137476
Provider Name: AVROY A FANAROFF, MD
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

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

Avroy A Fanaroff, 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. Avroy A Fanaroff, MD NPI is 1124137476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106-716
Phone: (216) 844-7700
Fax: (440) 449-1555

The enumeration date for this NPI number is 8/30/2006 and was last updated on 7/5/2011.

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	208000000X	Pediatrics		35-034111	OHIO	No
2	207LP3000X	Anesthesiology	Pediatric Anesthesiology	35-034111	OHIO	No
3	207L00000X	Anesthesiology		35-034111	OHIO	No
4	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	35-034111	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	000000221252	OTHER	OHIO	UNISON
2	745905	OTHER	OHIO	BUCKEYE
3	0182556	OTHER	OHIO	BCMH
4	400722	OTHER	OHIO	AETNA
5	A83653	MEDICARE UPIN	OHIO
6	000000028185	OTHER	OHIO	ANTHEM
7	0182556	MEDICAID	OHIO
8	FA4177391	MEDICARE PIN	OHIO
9	FA4177392	MEDICARE PIN	OHIO
10	363519	OTHER	OHIO	WELLCARE

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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