Individual
ELMA D BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8200
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35-084878
OH
207NS0135X
Procedural Dermatology Physician
35-084878
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221001
UNISON
—
01
—
000000354268
ANTHEM
OH
01
—
000000523161
ANTHEM
OH
01
—
02922998
NEW YORK MEDICAID
NY
01
—
1020551090001
PENNSYLVANIA MEDICAID
PA
05
—
2522470
—
OH
01
—
363341
WELLCARE
—
01
—
743932
BUCKEYE
—
01
—
7930662
AETNA
OH
01
—
P00323176
RAILROAD MEDICARE
OH
01
—
P00411926
RAILROAD MEDICARE
OH
Enumeration date
07/12/2006
Last updated
08/23/2010
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