Individual
MIRIAM SARA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, J3-4, CLEVELAND, OH 44195-0001
(216) 444-4036
(216) 445-6192
Mailing address
9500 EUCLID AVE, J3-4, CLEVELAND, OH 44195-0001
(216) 444-4036
(216) 445-6192
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35.121506
OH
207RC0000X
Cardiovascular Disease Physician
D72731
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440701600
—
MD
01
—
974679-01
CAREFIRST BC/BS
MD
01
—
S062-0435
CAREFIRST BC/BS - REGIONAL
MD
Enumeration date
07/10/2006
Last updated
03/31/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us