Healthcare Provider Details

I. General information

NPI: 1801868203
Provider Name (Legal Business Name): GEORGE G. STOKES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23850 COMMERCE PARK
BEACHWOOD OH
44122-5829
US

IV. Provider business mailing address

23850 COMMERCE PARK
BEACHWOOD OH
44122-5829
US

V. Phone/Fax

Practice location:
  • Phone: 440-781-5200
  • Fax: 440-232-3801
Mailing address:
  • Phone: 440-753-6030
  • Fax: 440-568-5003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35-05-2922
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: