NPIMap

Organization Active NPI

Louis Stokes VA Medical Center

  • Military Hospital
  • Cleveland, OH
National Provider Identifier
1144455783
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
Legal business name
LOUIS STOKES VA MEDICAL CENTER
Practice address
2082 East 4TH St Apt #401
Cleveland, OH 44115-1044
Phone
(614) 625-9161
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Petrak
Title
Management and Program Analyst
Phone
(216) 791-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X OH Primary

Addresses

Primary practice location

2082 East 4TH St Apt #401
Cleveland, OH 44115-1044

Mailing address

2082 East 4TH St Apt #401
Cleveland, OH 44115-1044
Phone (614) 625-9161

National Provider Directory

National Provider Directory
Tax ID family
Cleveland Vamc38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1144455783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2082 EAST 4TH ST APT #401",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151044",
            "telephone_number": "614-625-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 EAST 4TH ST APT #401",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151044",
            "telephone_number": "614-625-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS STOKES VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "PETRAK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGEMENT AND PROGRAM ANALYST",
        "authorized_official_telephone_number": "216-791-3800"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.