Kathryn Stackhouse, | |
9500 Euclid Ave, Cleveland, OH 44195-5400 | |
(216) 299-0812 | |
Not Available |
Full Name | Kathryn Stackhouse |
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Gender | Female |
Speciality | Surgery |
Location | 9500 Euclid Ave, Cleveland, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811382443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35.145480 (Ohio) | Primary |
Entity Name | Partners Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841239274 PECOS PAC ID: 4183529340 Enrollment ID: O20031202000183 |
Entity Name | Acute Care Surgery Service At Akron |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376779702 PECOS PAC ID: 9537211750 Enrollment ID: O20090720000487 |
Mailing Address | Practice Location Address |
---|---|
Kathryn Stackhouse, 2914 W 14th St, Cleveland, OH 44113-5219 Ph: (301) 788-6293 | Kathryn Stackhouse, 9500 Euclid Ave, Cleveland, OH 44195-5400 Ph: (216) 299-0812 |
Dr. Masato Fujiki, M.D., PH.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-8007 Fax: 216-444-9375 | |
Dr. Vanessa Phillis Ho, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Dr. Rachael C Sullivan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 440-449-1101 | |
Anna Martha Chichura, MD Surgery Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2200 Fax: 216-636-1296 | |
Dr. Jordan Michael Winter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-5777 Fax: 216-844-2888 | |
Iuliana Dit Bobanga, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2200 | |
Dr. Raymond Isakov, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, A60, Cleveland, OH 44195 Phone: 216-445-3765 Fax: 216-444-9419 |