Individual
J STEVEN HATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-1880
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-1880
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
22751
IA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
22751
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462622
—
IA
01
—
33549
WELLMARK BCBS
IA
01
—
44810
WELLMARK BCBS
IA
Enumeration date
10/13/2005
Last updated
11/09/2016
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