Individual
DR. EDWARD M BARKSDALE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-7874
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD053529L
PA
2086S0120X
Pediatric Surgery Physician
Primary
036.171546
IL
2086S0120X
Pediatric Surgery Physician
35-090195
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225713
UNISON
OH
01
—
000000527692
ANTHEM
OH
05
—
0014799000009
—
PA
05
—
001943914
—
PA
01
—
0986241
BCMH
OH
05
—
0986241
—
OH
01
—
414644
WELLCARE
OH
01
—
4510236
AETNA
OH
01
—
749092
BUCKEYE
OH
Enumeration date
02/03/2006
Last updated
03/21/2025
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