Provider Demographics
NPI:1902993546
Name:CHEPLA, ALYSON FINAMORE (AA)
Entity Type:Individual
Prefix:MRS
First Name:ALYSON
Middle Name:FINAMORE
Last Name:CHEPLA
Suffix:
Gender:F
Credentials:AA
Other - Prefix:MS
Other - First Name:ALYSON
Other - Middle Name:MARIE
Other - Last Name:FINAMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AA
Mailing Address - Street 1:1133 W 9TH ST
Mailing Address - Street 2:APT 401
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-1016
Mailing Address - Country:US
Mailing Address - Phone:330-207-5996
Mailing Address - Fax:
Practice Address - Street 1:2500 METROHEALTH DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1900
Practice Address - Country:US
Practice Address - Phone:216-778-4809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH67000127367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0008242621Medicare NSC