Individual
ELIZABETH M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, DIVISION OF EMERGENCY MEDICINE, CLEVELAND, OH 44106-1716
(216) 844-8716
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
183452-1205
UT
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
183452-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000218105
UNISON
OH
01
—
00000525917
ANTHEM
OH
05
—
002084556
—
NV
05
—
003567700
—
ID
05
—
0142649
—
MT
01
—
1018319100001
PA MEDICAID
PA
05
—
10241
—
UT
05
—
121337700
—
WY
01
—
2659574
BCMH
OH
05
—
2659574
—
OH
01
—
363307
WELLCARE
OH
01
—
4140018
AETNA
OH
01
—
734680
BUCKEYE
OH
01
—
P00411227
RAILROAD MEDICARE
OH
Enumeration date
06/12/2006
Last updated
06/30/2011
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