Jeffrey H. Stockfish MD, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35-05-2647-S Issued in OH

Legal business name

JEFFREY H. STOCKFISH MD, INC

Practice address

6690 Beta Dr
Ste 312
Mayfield Village, OH 44143-2361

Phone

(440) 460-2822

Fax

(440) 460-2825

NPI assigned

Jul 26, 2006

Last updated

Apr 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey H. Stockfish, MD

Title

President

Phone

(440) 460-2822

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northern Ohio Retinal Consultants Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mario A. Delisio Jr., S.A.

  • Ophthalmic Assistant
  • Mayfield HTS, OH
  • NPI 1528264801
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1225052939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6690 BETA DR",
            "address_2": "STE 312",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432361",
            "telephone_number": "440-460-2822",
            "fax_number": "440-460-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6690 BETA DR",
            "address_2": "STE 312",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432361",
            "telephone_number": "440-460-2822",
            "fax_number": "440-460-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY H. STOCKFISH MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "STOCKFISH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-460-2822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35-05-2647-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0816755",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Ohio Retinal Consultants",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amanda Marie Hienton, CNP
• Hillcrest Pediatrics Inc.
• Danielle R Hoenig, AU.D.
• Hopebridge LLC
• Karen B Hull, LISW
• Jeffrey P Land Lisw-S LLC
• Tori Jones, BCBA
• Danielle Kallmeyer, M.A. CCC/SLP
• Karen Hull, Lisw, LLC
• Lauren Keller

• Ophthalmology Physician in Mayfield Village, OH
• Providers in Mayfield Village, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.