DR. ANDREA PAX MANN DO NPI 1487751046

NPI Information

NPI: 1487751046
Provider Name: DR. ANDREA PAX MANN, DO
Classification: Internal Medicine - 207RA0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
2054 SOUTH GREEN ROAD
SOUTH EUCLID, OH
ZIP 44121
Phone: (216) 291-9210
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DR. Andrea Pax Mann, DO is an adolescent medicine internal medicine in South Euclid, OH. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Andrea Pax Mann, DO NPI is 1487751046. 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:

2054 SOUTH GREEN ROAD
SOUTH EUCLID, OH
ZIP 44121
Phone: (216) 291-9210
Fax: (216) 291-9422

The enumeration date for this NPI number is 9/17/2006 and was last updated on 3/30/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RA0000X	Internal Medicine	Adolescent Medicine	34-00-8060-M	OHIO	No
2	207RA0000X	Internal Medicine	Adolescent Medicine	3400806	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	2408693	MEDICAID	OHIO
2	H88322	MEDICARE UPIN	OHIO
3	MA7313951	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: 11/14/2023

NPI Synchronization or Removal

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