Individual
ROSS ELLIOTT MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-7700
Mailing address
24701 EUCLID AVE, 3RD FLOOT, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35089608
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221173
UNISON
OH
01
—
1020923720001
PA MEDICAID
PA
05
—
2759180
—
OH
01
—
415013
WELLCARE
OH
01
—
750933
BUCKEYE
OH
01
—
9084068
AETNA
OH
Enumeration date
05/10/2007
Last updated
03/09/2012
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