Provider Demographics
NPI:1538152772
Name:KAISER, ERIC F (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:F
Last Name:KAISER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 WARRENSVILLE CENTER ROAD
Mailing Address - Street 2:1ST FLOOR NISC 9152
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122
Mailing Address - Country:US
Mailing Address - Phone:216-286-6260
Mailing Address - Fax:216-286-6341
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-844-7330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-065743207L00000X, 207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000225216OtherUNISON
OH0583328OtherBCMH
OH751157OtherBUCKEYE MEDICAID
OH0127339Medicaid
MI1538152772OtherMICHIGAN MEDICAID
OH050075360OtherRAILROAD MEDICARE
OH000000142261OtherANTHEM BCBS
OH414985OtherWELLCARE MEDICAID
OH5225680OtherAETNA
OHP00420603OtherRAILROAD MEDICARE
OH000000538624OtherANTHEM
MI1538152772OtherMICHIGAN MEDICAID
OH0583328OtherBCMH
OHG77322Medicare UPIN