Individual
GREGORY MENENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-4073
(216) 444-8986
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-8996
(216) 636-2043
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67000018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000232169
UNISON
OH
01
—
000000515970
ANTHEM
OH
01
—
0583328
BCMH
OH
05
—
1427041714
—
MI
05
—
2491021
—
OH
01
—
415010
WELLCARE MEDICAID
OH
01
—
7405896
AETNA
OH
01
—
P00405856
MEDICARE RAILROAD
OH
Enumeration date
08/23/2005
Last updated
11/19/2024
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