Healthcare Provider Details

I. General information

NPI: 1730182650
Provider Name (Legal Business Name): JOSEPH M STEFKO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8591 CROSSROADS DRIVE
YOUNGSTOWN OH
44514
US

IV. Provider business mailing address

8591 CROSSROADS DRIVE
YOUNGSTOWN OH
44514
US

V. Phone/Fax

Practice location:
  • Phone: 330-758-0577
  • Fax: 330-758-0466
Mailing address:
  • Phone: 330-758-0577
  • Fax: 330-758-0466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number68855
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number68855
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: