Individual
STEVEN CRAIG PEARSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29099 HEALTH CAMPUS DR, STE 375, WESTLAKE, OH 44145-5255
(216) 529-7100
(216) 529-7749
Mailing address
24651 CENTER RIDGE RD, SUITE 350, WESTLAKE, OH 44145-5635
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35046000P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000274279
ANTHEM
—
01
—
0119204
GROUP MEDICAID
—
05
—
0457358
—
OH
01
—
102466
KAISER
—
01
—
10797386
CAQH
—
01
—
1780634279
GROUP NPI
—
01
—
34-1783789
GROUP TAX ID
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
4007681
AETNA
—
01
—
9273172
GROUP MEDICARE
—
01
—
CA4511
RR MEDICARE GROUP
—
01
—
D368301
MEDICARE IND DIAGNOSTICS
—
01
—
P00006989
RR MEDICARE INDIVIDUAL
—
Enumeration date
02/23/2006
Last updated
04/29/2016
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