Evi Stavrou, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

35.096752 Issued in OH

Practice address

10701 East Blvd
Cleveland Vamc, DPT. of Int. Medicine 111F(W)
Cleveland, OH 44106-1702

Phone

(216) 791-3800

Fax

(216) 421-3045

NPI assigned

Feb 14, 2007

Last updated

Jun 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1457494064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 EAST BLVD",
            "address_2": "LOUIS STOKES CLEVELAND VAMC, DPT. OF INT. MED, 111F(W)",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061702",
            "telephone_number": "443-653-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 EAST BLVD",
            "address_2": "CLEVELAND VAMC, DPT. OF INT. MEDICINE 111F(W)",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061702",
            "telephone_number": "216-791-3800",
            "fax_number": "216-421-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVROU",
        "first_name": "EVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35.096752",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P20422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mena Stauch
• Rose Anne Elizabeth Stauder, RD, LD, CDE
• Brenda J Stauffer, CNP
• Jennifer Stauffer, FNP
• Joseph Stavole, RPH
• Steadfast Health Professional Services of Ohio Inc
• Steadfast Health Professional Services of Ohio Inc
• Steadfast Health Services
• Damon G Stearnes
• Bianca Stearns

• Specialist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.