Basic Information
| Provider Information | |||||||||
| NPI: | 1629002266 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARNOLD | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 24701 EUCLID AVE | ||||||||
| Address2: | 3RD FLOOR | ||||||||
| City: | EUCLID | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441171714 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 11100 EUCLID AVE | ||||||||
| Address2: | |||||||||
| City: | CLEVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441061716 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2168446000 | ||||||||
| FaxNumber: | 2162866341 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2006 | ||||||||
| LastUpdateDate: | 08/19/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 35-055012 | OH | N | Allopathic & Osteopathic Physicians | Otolaryngology | 207YP0228X | 35.055012 | OH | Y | Allopathic & Osteopathic Physicians | Otolaryngology | Pediatric Otolaryngology |
ID Information
| ID | Type | State | Issuer | Description | 7253550 | 01 | OH | AETNA | OTHER | 1010377790001 | 01 | PA | PA MEDICAID | OTHER | 000000506205 | 01 | OH | ANTHEM | OTHER | P00411232 | 01 | OH | RAILROAD MEDICARE | OTHER | 000000204727 | 01 | OH | UNISON | OTHER | 000000345560 | 01 | OH | ANTHEM | OTHER | 0655036 | 01 | OH | BCMH | OTHER | 1629002266 | 01 | OH | MICHIGAN MEDICAID | OTHER | 2317912 | 01 | OH | UHC | OTHER | 4006946 | 01 | OH | AETNA | OTHER | 363321 | 01 | OH | WELLCARE | OTHER | 0655036 | 05 | OH | MEDICAID | 727723 | 01 | OH | BUCKEYE | OTHER |