Individual
STEVEN EMANCIPATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-7494
Mailing address
3605 WARRENSVILLE CTR RD, MSC 9152, SHAKER HTS, OH 44122
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
34047991
OH
207ZP0101X
Anatomic Pathology Physician
35047991
OH
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
35047991
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030170
ANTHEM
OH
01
—
000000224364
UNISON
OH
01
—
000000528747
ANTHEM
OH
05
—
0498546
—
OH
01
—
0639660
AETNA
OH
01
—
341794737008
MMO
OH
01
—
363507
WELLCARE
OH
01
—
639660
AETNA
OH
01
—
750544
BUCKEYE
OH
Enumeration date
10/20/2006
Last updated
06/05/2008
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