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NPI Code Detail

MEDICARE: STEVEN M DEMAIOLO D.O.

MEDICARE: STEVEN M DEMAIOLO 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 Physician34004338OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922003888
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN M DEMAIOLO D.O.
Provider Business Mailing Address
First Line : 9471 MARKET ST
Second Line : STE B
City : NORTH LIMA
State : OH
Zip : 44452-8702
Country : US
Telephone Number : 330-729-2388
Fax Number : 330-629-6468
Provider Business Practice Location Address
First Line : 9471 MARKET ST
Second Line :
City : NORTH LIMA
State : OH
Zip : 44452-8702
Country : US
Telephone Number : 330-726-7100
Fax Number : 330-758-0347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 02/20/2017

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Directions to “ STEVEN M DEMAIOLO D.O.” Practice Location

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