Individual
JILL E BALEY
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
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-043681
OH
207LP3000X
Pediatric Anesthesiology Physician
35-043681
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35-043681
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028213
ANTHEM
OH
01
—
000000221266
UNISON
OH
01
—
000000525876
ANTHEM
OH
01
—
0473054
BCMH
OH
05
—
0473054
—
OH
01
—
0639459
AETNA
OH
01
—
1011632730001
PA MEDICAID
PA
01
—
363336
WELLCARE
OH
01
—
370001897
RAILROAD MEDICARE
OH
01
—
737617
BUCKEYE
OH
01
—
P00411238
RAILROAD MEDICARE
OH
Enumeration date
07/24/2006
Last updated
06/30/2011
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