NPIMap

Organization Active NPI

Louis Stokes VA Medical Center

  • Student in an Organized Health Care Education/Training Program
  • Cleveland, OH
National Provider Identifier
1245521723
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
LOUIS STOKES VA MEDICAL CENTER
Practice address
10701 East Blvd
Dental Service 160 (W)
Cleveland, OH 44106-1702
Phone
(216) 791-3800
Fax
(216) 231-3427
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

10701 East Blvd
Dental Service 160 (W)
Cleveland, OH 44106-1702

Mailing address

10701 East Blvd
Dental Service 160 (W)
Cleveland, OH 44106-1702
Phone (216) 791-3800

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

Locations

10701 East Blvd
#160W
Cleveland, OH 44106

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1245521723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 EAST BLVD",
            "address_2": "DENTAL SERVICE 160 (W)",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061702",
            "telephone_number": "216-791-3800",
            "fax_number": "216-231-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 EAST BLVD",
            "address_2": "DENTAL SERVICE 160 (W)",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061702",
            "telephone_number": "216-791-3800",
            "fax_number": "216-231-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS STOKES VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "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": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "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 2, 2011; 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.