Individual
JEFFREY A GRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-3771
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.066655
OH
207LA0401X
Addiction Medicine (Anesthesiology) Physician
35.066655
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35.066655
OH
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
35.066655
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.066655
OH
207LP3000X
Pediatric Anesthesiology Physician
35.066655
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000220996
UNISON
OH
01
—
000000516039
ANTHEM
OH
01
—
0583328
BCMH
OH
05
—
0981326
—
OH
01
—
1124080262
MICHIGAN MEDICAID
MI
01
—
363581
WELLCARE MEDICAID
OH
01
—
4553741
AETNA
OH
01
—
740330
BUCKEYE MEDICAID
OH
05
—
940975631A
—
GA
01
—
P00400481
RAILROAD MEDICARE
OH
Enumeration date
04/04/2006
Last updated
08/18/2010
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