John E Stork in Cleveland - Addiction Medicine

John E Stork - NPI 1528082328

John E Stork is a Addiction Medicine in Cleveland, Ohio. John E Stork practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for John E Stork is 1528082328. The last update date is 2010-08-19.

John E Stork's current location address is 11100 Euclid Ave, Cleveland, Ohio. You can contact this provider via phone number 2168447334 and fax number 2168443781. The mailing address for John E Stork is 11100 Euclid Ave, Cleveland, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name John E Stork
Address 11100 Euclid Ave, Cleveland, Ohio
Phone Number 2168447334
Fax Number 2168443781
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1528082328
Provider Enumeration Date 2006-07-26
Last Updated Date 2010-08-19

Provider Mailing Address Detail

Address 11100 Euclid Ave
City Cleveland
State Ohio (OH)
Post Code 441061716
Phone Number 2168447334
Fax Number 2168443781

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 207La0401X
Licence No 35-0465395
Definition:
An anesthesiologist who specializes in the diagnosis and treatment of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50032128 OH RAILROAD MEDICARE
732058 OH BUCKEYE MEDICAID
516064 OH ANTHEM
519997 OH --
P00605163 OH MEDICARE RAILROAD
4007964 OH AETNA
221112 OH UNISON
583328 OH BCMH
364051 OH WELLCARE MEDCAID

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FAQs about John E Stork

What is the unique provider identifier assigned to John E Stork?

The John E Stork has been issued the NPI (National Provider Identifier) 1528082328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of John E Stork?

The John E Stork is situated at 11100 Euclid Ave, in the city of Cleveland, state of OH, with the zip code 441061716.

What is John E Stork's specialized field of practice, and what is the corresponding taxonomy classification code?

The John E Stork's area of specialization is Addiction Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207La0401X.

When did the John E Stork receive its 1528082328?

The John E Stork was issued its 1528082328 on 2006-07-26, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding John E Stork, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John E Stork, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-08-19.

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