Individual
RANDALL E. MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-7200
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-039984
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221366
UNISON
OH
01
—
000000503678
ANTHEM
OH
05
—
0463798
—
OH
01
—
0639965
AETNA
OH
01
—
363803
WELLCARE
OH
01
—
738075
BUCKEYE
OH
01
—
P00011023
RAILROAD MEDICARE
OH
01
—
P00399414
RAILROAD MEDICARE
OH
Enumeration date
08/03/2006
Last updated
12/17/2020
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