Basic Information
Provider Information
NPI: 1427585314
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OESTERREICH
FirstName: SHARI
MiddleName: DIANE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BRAUER
OtherFirstName: SHARI
OtherMiddleName: DIANE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 9500 EUCLID AVE
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441950001
CountryCode: US
TelephoneNumber:  
FaxNumber: 2164450605
Practice Location
Address1: 9500 EUCLID AVE
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441950001
CountryCode: US
TelephoneNumber: 2164452115
FaxNumber: 2164450605
Other Information
ProviderEnumerationDate: 05/22/2017
LastUpdateDate: 10/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP3000X35.137343OHY Allopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology

No ID Information.


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