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NPI Code Detail

MEDICARE: DR. JASON A STIENECKER D.O.

MEDICARE: DR. JASON A STIENECKER D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician54259CO
2207RC0200XCritical Care Medicine (Internal Medicine) Physician34.010695OH
3208D00000XGeneral Practice Physician34.010695OH
4207RP1001XPulmonary Disease Physician34.010695OH

General Provider Information

NPI Number : 1538455720
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON A STIENECKER D.O.
Provider Business Mailing Address
First Line : 1001 BELLEFONTAINE AVE
Second Line :
City : LIMA
State : OH
Zip : 45804-2800
Country : US
Telephone Number : 419-998-4575
Fax Number : 419-998-4586
Provider Business Practice Location Address
First Line : 1003 BELLEFONTAINE AVE STE 150
Second Line :
City : LIMA
State : OH
Zip : 45804-1871
Country : US
Telephone Number : 419-998-8295
Fax Number : 419-226-8323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2011
Last Update Date : 04/06/2022

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