Active NPI
Paul Anthony Stagno, M.D., PH.D.
- Anatomic Pathology & Clinical Pathology Physician
- Cleveland, OH
National Provider Identifier
1790866739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35052030
- Practice address
- 18101 Lorain Ave
Dept. of Pathology
Cleveland, OH 44111-5612 - Phone
- (216) 476-7108
- Fax
- (216) 476-7109
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35052030 | OH | Primary |
Addresses
Primary practice location
18101 Lorain Ave
Dept. of Pathology
Cleveland, OH 44111-5612
Mailing address
18101 Lorain Ave
Dept. of Pathology
Cleveland, OH 44111-5612
Phone (216) 476-7108
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000024197 | Other | OH | ANTHEM BC/BS |
| 0752378 | Other | OH | BCMH |
| 1100290 | Other | OH | UNITED HEALTH CARE |
| 340714618011 | Other | OH | MEDICAL MUTUAL OHIO |
| 1316 | Other | OH | UNITED MINE WORKERS |
| 340714618144 | Other | OH | CARESOURCE |
| 5954238 | Other | OH | AETHNA US HEALTHCARE |
| 000000024197 | Other | OH | UNICARE |
| 000000024197 | Other | OH | OHIO OPER. ENGINEERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35052030 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1790866739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18101 LORAIN AVE",
"address_2": "DEPT. OF PATHOLOGY",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115612",
"telephone_number": "216-476-7108",
"fax_number": "216-476-7109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 LORAIN AVE",
"address_2": "DEPT. OF PATHOLOGY",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115612",
"telephone_number": "216-476-7108",
"fax_number": "216-476-7109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGNO",
"first_name": "PAUL",
"middle_name": "ANTHONY",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35052030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000024197",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMH",
"identifier": "0752378",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1100290",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OHIO",
"identifier": "340714618011",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MINE WORKERS",
"identifier": "1316",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "340714618144",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETHNA US HEALTHCARE",
"identifier": "5954238",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "000000024197",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO OPER. ENGINEERS",
"identifier": "000000024197",
"state": "OH"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.