Individual
KATHERINE E MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-068348
OH
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
35-068348
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000026874
ANTHEM
OH
01
—
000000221004
UNISON
OH
01
—
000000526105
ANTHEM
OH
05
—
0178605
—
OH
01
—
178605
BCMH
OH
01
—
363813
WELLCARE
OH
01
—
7161494
AETNA
OH
01
—
727502
BUCKEYE
OH
Enumeration date
07/21/2006
Last updated
08/18/2011
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