Lindsay Christine Desiato, D.O.
Individual provider Active NPI Family Medicine Physician · Streetsboro, OH
NPI 1407097330 · NPPES record last updated Jul 11, 2012
Key facts
- NPI
- 1407097330
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34-010422 (OH)
- Practice address
- 9318 State Route 14
1St Floor
Streetsboro, OH 44241-5224 - Phone
- (330) 626-3455
- Fax
- (330) 626-4189
- NPI assigned
- Mar 24, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-010422 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robinson Memorial Portage County Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34-010422 | OH | Yes |
Addresses
Primary practice location
9318 State Route 14
1St Floor
Streetsboro, OH 44241-5224
Mailing address
9318 State Route 14
1St Floor
Streetsboro, OH 44241-5224
Phone (330) 626-3455
Other providers in Streetsboro, OH
- Lindsay Davis
- Laura Delambo
- Ashaunte Dent
- Crystal Dent
- Dental Health Associates of Streetsboro
- Shakira Diaz
- Dr. Marc Landes LLC
- Dr. Phillip a. Kades
- Dr.Salameh and Partners LLC
- Keping Duan
All providers in Streetsboro, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.