Individual
JONATHAN Z BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-6000
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35-085046
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000132443
ANTHEM
OH
01
—
000000221225
UNISON
OH
01
—
000000506206
ANTHEM
OH
01
—
1000389
UHC
OH
05
—
2511473
—
OH
01
—
363345
WELLCARE
OH
01
—
639441
AETNA
OH
01
—
7253550
AETNA
OH
01
—
738031
BUCKEYE
OH
01
—
P00388792
RAILROAD MEDICARE
OH
Enumeration date
07/10/2006
Last updated
07/14/2011
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