Individual
MICHAEL L NOCHOMOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35-044236
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224313
UNISON
OH
01
—
000000539510
ANTHEM
—
05
—
0478344
—
OH
01
—
0640029
AETNA
—
01
—
363879
WELLCARE
—
01
—
746014
BUCKEYE
—
Enumeration date
07/19/2006
Last updated
07/20/2011
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