Healthcare Provider Details

I. General information

NPI: 1497335608
Provider Name (Legal Business Name): STEPHEN WERNER-SLEVA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2135 DANA AVE STE 220
CINCINNATI OH
45207-1342
US

IV. Provider business mailing address

355 W 16TH ST STE 2364
INDIANAPOLIS IN
46202-2279
US

V. Phone/Fax

Practice location:
  • Phone: 216-468-5000
  • Fax:
Mailing address:
  • Phone: 317-963-7307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35.153428
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: