Individual
MR. STEVEN A SURACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3771
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
182770
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224757
UNISON
OH
01
—
000000516014
ANTHEM
OH
01
—
0583328
BCMH
OH
05
—
2305286
—
OH
01
—
414825
WELLCARE MEDICAID
OH
01
—
5254487
AETNA
OH
01
—
732312
BUCKEYE MEDICAID
OH
01
—
P00438139
RAILROAD MEDICARE
OH
Enumeration date
08/29/2005
Last updated
03/13/2014
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