Provider Demographics
NPI:1407535941
Name:ISAAK, NUR (PA-C)
Entity type:Individual
Prefix:
First Name:NUR
Middle Name:
Last Name:ISAAK
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARE ALLIANCE
Mailing Address - Street 2:1530 ST CLAIR AVE NE
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-2004
Mailing Address - Country:US
Mailing Address - Phone:216-535-9100
Mailing Address - Fax:216-535-2626
Practice Address - Street 1:CARE ALLIANCE
Practice Address - Street 2:1530 ST CLAIR AVE NE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-2004
Practice Address - Country:US
Practice Address - Phone:216-535-9100
Practice Address - Fax:216-535-2626
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.009169RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant