PAUL THEODORE OMELSKY M.D. NPI 1346304607

NPI Information

NPI: 1346304607
Provider Name: PAUL THEODORE OMELSKY, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
2460 FAIRMOUNT BLVD
SIUTE 212
CLEVELAND HTS, OH
ZIP 44106
Phone: (216) 536-8479
Get Directions

Paul Theodore Omelsky, M.D. is a child and adolescent psychiatry psychiatry neurology in Cleveland Hts, OH. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Paul Theodore Omelsky, M.D. NPI is 1346304607. 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:

2460 FAIRMOUNT BLVD
SIUTE 212
CLEVELAND HTS, OH
ZIP 44106-171
Phone: (216) 536-8479
Fax: (216) 932-7668

The enumeration date for this NPI number is 12/21/2006 and was last updated on 11/12/2009.

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	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	35.031025	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
1	A75472	MEDICARE UPIN	OHIO
2	0150223	MEDICAID	OHIO
3	36-4031	MEDICARE ID-TYPE UNSPECIFIED	OHIO

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: 5/5/2024

NPI Synchronization or Removal

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