Individual
ERIC GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5001 TRANSPORTATION DR, SHEFFIELD VILLAGE, OH 44054-2849
(440) 329-2800
(440) 329-2810
Mailing address
5001 TRANSPORTATION DR, SHEFFIELD VILLAGE, OH 44054-2849
(440) 329-2800
(440) 329-2810
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
1857
GA
363AS0400X
Surgical Physician Assistant
Primary
50-003327
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080572
—
OH
Enumeration date
03/31/2009
Last updated
01/13/2021
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