Individual
ERNEST DEGIDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5001 TRANSPORTATION DR, SUITE 300, SHEFFIELD VILLAGE, OH 44054-2849
(440) 328-3420
(216) 201-6365
Mailing address
5001 TRANSPORTATION DR, SUITE 300, SHEFFIELD VILLAGE, OH 44054-2849
(440) 328-3420
(216) 201-6365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34008333D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000378866
ANTHEM BCBS
OH
05
—
2494706
—
OH
Enumeration date
01/03/2006
Last updated
12/15/2020
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