Individual
CHRISTINA HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7200
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.096380
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000468978
UNISON
OH
01
—
000000733599
ANTHEM
OH
05
—
1026683510001
—
PA
01
—
2048816199FY
CARESOURCE
OH
05
—
3113964
—
OH
01
—
35.096380
LICENSE
OH
01
—
580851
WELLCARE
OH
01
—
9423675
AETNA
OH
Enumeration date
04/25/2007
Last updated
12/09/2020
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