Individual
DR. JOHN C CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, A-120, CLEVELAND, OH 44195-0001
(216) 445-7572
(216) 445-7792
Mailing address
9500 EUCLID AVE, A-120, CLEVELAND, OH 44195-0001
(216) 445-7572
(216) 445-7792
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
35-054438
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028086
ANTHEM
OH
01
—
000000221118
UNISON
OH
01
—
000000525885
ANTHEM
OH
01
—
0014868160003
PA MEDICAID
PA
01
—
0644193
AETNA
OH
01
—
0866899
BCMH
OH
05
—
0866899
—
OH
01
—
1134149107
MICHIGAN MEDICAID
MI
01
—
363396
WELLCARE
OH
01
—
727448
BUCKEYE
OH
Enumeration date
07/20/2006
Last updated
05/31/2011
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