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NPI Code Detail

MEDICARE: DR. ANGELINE STERGIOU M.D.

MEDICARE: DR. ANGELINE STERGIOU M.D.
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
12084P0800XPsychiatry Physician35-063317OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CD3781OTHEROHMEDICARE RAILROAD

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 : 1932172780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELINE STERGIOU M.D.
Provider Business Mailing Address
First Line : 1153 E MAIN ST
Second Line : PO BOX 2563
City : LANCASTER
State : OH
Zip : 43130-4056
Country : US
Telephone Number : 740-687-8990
Fax Number : 740-687-8230
Provider Business Practice Location Address
First Line : 131 N EWING ST
Second Line : UNIT C
City : LANCASTER
State : OH
Zip : 43130-3383
Country : US
Telephone Number : 740-689-6600
Fax Number : 740-689-6603
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 12/13/2016

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