Individual
TYLER JESSICA KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11000 EUCLID AVE, CLEVELAND, OH 44106-1714
(216) 201-4239
(216) 201-4239
Mailing address
11100 EUCLID AVE, MACDONALD WOMEN'S HOSPITAL, 7TH FLOOR, CLEVELAND, OH 44106
(216) 844-3921
(216) 201-4239
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
090465
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000564039
ANTHEM BLUE SHIELD
OH
01
—
000000564657
ANTHEM BLUE SHIELD
OH
05
—
2788407
—
OH
01
—
420570
WELLCARE
OH
Enumeration date
11/29/2006
Last updated
12/28/2020
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