Provider Demographics
NPI:1154330744
Name:KATCHER, JERALD (MD)
Entity type:Individual
Prefix:
First Name:JERALD
Middle Name:
Last Name:KATCHER
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 1:20800 HARVARD RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HIGHLAND HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7249
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-3103
Practice Address - Fax:440-449-1555
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0724592085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00449242OtherRAILROAD MEDICARE
OH000000224287OtherUNISON
OH2163073Medicaid
OH000000529629OtherANTHEM
OH746025OtherBUCKEYE
OH920006088OtherRAILROAD MEDICARE
OH363683OtherWELLCARE
OH000000195770OtherANTHEM
OH2498125OtherAETNA
OH4213861Medicare PIN
OH2498125OtherAETNA
OHKA0841965Medicare PIN