Individual
JONATHAN HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-7330
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.088601
OH
207LA0401X
Addiction Medicine (Anesthesiology) Physician
35.088601
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35.088601
OH
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
35.088601
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.088601
OH
207LP3000X
Pediatric Anesthesiology Physician
35.088601
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0583328
BCMH
OH
05
—
2839129
—
OH
Enumeration date
05/19/2007
Last updated
08/18/2010
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