Provider Demographics
NPI:1760457477
Name:NAAR, DAVID J (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:NAAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JULIO
Other - Middle Name:DAVID
Other - Last Name:NAAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 241366
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-8366
Mailing Address - Country:US
Mailing Address - Phone:440-641-0433
Mailing Address - Fax:440-455-9610
Practice Address - Street 1:3657 MADACA LN
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2048
Practice Address - Country:US
Practice Address - Phone:800-991-6117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2025-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.1779282086S0129X
AZ404172086S0129X
COCDR.00061302086S0129X
NY2230062086S0129X
GA1103752086S0129X
TXW24492086S0129X
NJ25IA129270002086S0129X
OH35.0958232086S0129X
FLME1779632086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3080900Medicaid
I10962Medicare UPIN
OH3080900Medicaid