DR. MARY M. LORENTZ CLOUGH M.D. - NPI 1265546113 - Pediatrics in Cleveland Heights, OH

Q: What is Mary Clough's NPI number?

The NPI number for Mary Clough is 1265546113. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Mary Clough's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Clough was last updated on June 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Mary M. Lorentz Clough M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY M. LORENTZ CLOUGH M.D. (NPI 1265546113) is an individual pediatrics provider in Cleveland Heights, Ohio, licensed in Ohio (35-032333) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1265546113

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MARY M. LORENTZ CLOUGHCredential: M.D.

Location Address10 SEVERANCE CIRCleveland Heights, OH 44118-1533

Mailing Address12201 Euclid Ave, #1200Cleveland, OH 44106-4310 · (216) 707-3427 · Fax (216) 707-3529

Phone(216) 621-5600

Fax(440) 975-4690

Sole ProprietorNo

Enumeration DateAugust 18, 2006

Last NPPES UpdateJune 2, 2016

✔ NPI 1265546113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OH · 35-032333

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

10 SEVERANCE CIR, Cleveland Heights, OH 44118

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Other Identifiers 3

Medicare UPINE29799

Medicaid0152383OH

Medicare ID-Type UnspecifiedCL0643961

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JEFF EDWARD COX RPH

Pharmacist