Individual
SUSAN M SCHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1636
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-088240
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000218857
UNISON
OH
01
—
000000503551
ANTHEM
OH
05
—
1346259983
—
MI
05
—
2703640
—
OH
01
—
363989
WELLCARE
OH
01
—
744020
BUCKEYE MEDICAID
OH
01
—
7828842
AETNA
OH
01
—
P00366726
MEDICARE RAILROAD
OH
Enumeration date
08/05/2006
Last updated
08/22/2011
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