Healthcare Provider Details

I. General information

NPI: 1619998135
Provider Name (Legal Business Name): JOSEPH ANTHONY STOKER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 03/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6505 MARKET STREET AKRON CHILDREN'S HOSPITAL MAHONING BEEGHLY CAMPUS
BOARDMAN OH
44512-3457
US

IV. Provider business mailing address

1 PERKINS SQ
AKRON OH
44308-1063
US

V. Phone/Fax

Practice location:
  • Phone: 330-746-9200
  • Fax: 330-746-9201
Mailing address:
  • Phone: 330-543-3733
  • Fax: 330-543-3270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number34.007959
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: