Provider Demographics
NPI:1861490179
Name:CATANA, MIRCEA I (MD)
Entity type:Individual
Prefix:
First Name:MIRCEA
Middle Name:I
Last Name:CATANA
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 1:3197 NORTHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-3720
Mailing Address - Country:US
Mailing Address - Phone:440-892-0997
Mailing Address - Fax:216-252-6696
Practice Address - Street 1:18099 LORAIN AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5610
Practice Address - Country:US
Practice Address - Phone:216-252-6606
Practice Address - Fax:206-252-6696
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH31048274C208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH34139840500OtherBWC
OH00000131481OtherBLUE CROSS BLUE SHEILD
OH0508945Medicaid
OHA15505Medicare UPIN
OHCA0536551Medicare ID - Type Unspecified