Steven Carl Blaha, M.D.
Individual provider Active NPI Emergency Medicine Physician · Lakewood, OH
NPI 1124075759 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124075759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 35070972 (OH)
- Practice address
- 14519 Detroit Ave
Lakewood, OH 44107-4316 - Phone
- (216) 521-4200
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Toledo College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cleveland Clinic
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200
Hospital & facility affiliations
- Cleveland Clinic
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050202000099 | OH | Practitioner - Emergency Medicine | 6709837297 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35070972 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current |
Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Emerginet Henry, LLC | Past | Accepting new patients | |
| Emerginet, LLC | Past |
Accepting new patients | |
| Parkway Anesthesia Consultants, PC | Past | Accepting new patients |
Locations
18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
850 Columbia Rd
Westlake, OH 44145
Phone (440) 808-4000
Interoperability endpoints
- sblahamd71357@direct.ccf.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35070972 | OH | Yes |
Addresses
Primary practice location
14519 Detroit Ave
Lakewood, OH 44107-4316
Mailing address
33479 Vineyard Park
Avon, OH 44011-2580
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942460636112 | Other | OH | CARESOURCE |
| 0460184 | Medicaid | OH |
Other providers in Lakewood, OH
- Wendy Biello
- Donna Holmes Bishop
- Christina N Bistransky
- Constantine Bitounis
- Heidi Rae Bixby-Goblirsch
- Kelly Blakely
- Julie Ann Blantern
- Marcus Blohm
- Bloomfield Senior Living of Lakewood, LLC
- Blue Star Home Care, LLC
All providers in Lakewood, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.