Organization
ROBERT MARK FUMICH, M.D., INC.
Active
Organization
ROBERT MARK FUMICH, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MARK FUMICH M.D. (PRESIDENT)
(440) 460-0454
Entity
Organization
Contact information
Practice address
6803 MAYFIELD RD, SUITE 314, MAYFIELD HTS, OH 44124-2271
(440) 460-0454
(440) 460-0492
Mailing address
6803 MAYFIELD RD, SUITE 314, MAYFIELD HTS, OH 44124-2271
(440) 460-0454
(440) 460-0492
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-03-8194
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35-03-8194
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000027306
ANTHEM BC/BS
OH
05
—
0425383
—
OH
01
—
121721000
US DEPT OF LABOR
OH
01
—
276463151001
CENTRAL RESERVE LIFE
OH
01
—
276463151003
MEDICAL MUTUAL OF OHIO
OH
01
—
DH0806
MEDICARE RAILROAD
OH
01
—
RO0470823
MEDICARE
OH
Enumeration date
05/17/2006
Last updated
05/27/2008
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