Individual provider · Type 1 NPI

Michael Ian Dziat, AGNP

Nurse Practitioner · Cleveland, OH

NPI number 1255735254 Active

Practice location

1001 Lakeside Ave E, Ste 1000
Cleveland, OH 44114-1158

Call (440) 258-6072 Map

Fax (216) 420-9354

Mailing address

1001 Lakeside Ave E Ste 1000
Cleveland, OH 44114-1162

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X16445 (OH)
Nurse Practitioner Primary 363L00000X30385 (SC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1255735254

Michael Ian Dziat, AGNP's National Provider Identifier is 1255735254, issued on Oct 20, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cleveland, OH. The record was last updated on Oct 27, 2025.