1053396812 NPI number — JOSEPH DAVID STOKES JR. M.D.

Table of content: MELISSA KAREN PADDOCK PA-C (NPI 1306315833)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053396812 NPI number — JOSEPH DAVID STOKES JR. M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STOKES
Provider First Name:
JOSEPH
Provider Middle Name:
DAVID
Provider Name Prefix Text:
Provider Name Suffix Text:
JR.
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053396812
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/18/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1193 NORTON AVE
Provider Second Line Business Mailing Address:
SUITE A.
Provider Business Mailing Address City Name:
NORTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44203-9516
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-825-0847
Provider Business Mailing Address Fax Number:
330-825-9569

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1193 NORTON AVE
Provider Second Line Business Practice Location Address:
SUITE A.
Provider Business Practice Location Address City Name:
NORTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44203-9516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-825-0847
Provider Business Practice Location Address Fax Number:
330-825-9569
Provider Enumeration Date:
12/14/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207QG0300X , with the licence number:  35055544S , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 080015179 . This is a "RAILROAD MEDICARE NUMBER" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0933708 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com