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Contact Information

MARY NOCK, MD
11100 EUCLID AVENUE
CLEVELAND, OH44106
 Phone: 216-844-7700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARY NOCK · (Female)

NPI # 1003805508
Status Active
Credentials MD
Entity Individual
Enumeration date 10/18/2005
Last updated 07/06/2011 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35-076430
  • OH License # 35076430
  • OH Medicaid 2195360
  • OH Other 7336138 AETNA
  • OH Other 000000526112 ANTHEM
  • OH Other 2195360 BCMH
  • OH Other 745959 BUCKEYE
  • OH Other 000000221257 UNISON
  • OH Other 363880 WELLCARE
  • PA Other 1018331740001 PA MEDICAID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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