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STEPHEN MARICICH MD NPI 1265512669


NPI Information

NPI: 1265512669
Provider Name: STEPHEN MARICICH, MD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
10900 EUCLID AVENUE
CASE WESTERN RESERVE UNIVERSITY SOM ROOM E750I
CLEVELAND, OH
ZIP 44106
Phone: (216) 368-2194
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Stephen Maricich, MD is a neurology with special qualifications in child neurology psychiatry neurology in Cleveland, OH. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Stephen Maricich, MD NPI is 1265512669. 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:

10900 EUCLID AVENUE
CASE WESTERN RESERVE UNIVERSITY SOM ROOM E750I
CLEVELAND, OH
ZIP 44106
Phone: (216) 368-2194
Fax: (216) 368-4650

The enumeration date for this NPI number is 10/17/2006 and was last updated on 10/1/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyM3010TEXASNo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology35-091986OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I50234MEDICARE UPIN
2179389501MEDICAIDTEXAS
3MA4243261MEDICARE PINOHIO
4H125340MEDICARE PINOHIO
58G4102MEDICARE ID-TYPE UNSPECIFIED
62842651MEDICAIDOHIO

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

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