Provider Demographics
NPI:1003099912
Name:STOVSKY, ERICA J (MD)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:J
Last Name:STOVSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NEOMED 4209 ST RT 44 PO BOX 95
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE, ATTN ERICA STOVSKY
Mailing Address - City:ROOTSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44272
Mailing Address - Country:US
Mailing Address - Phone:330-325-6795
Mailing Address - Fax:
Practice Address - Street 1:4209 ST RT 44
Practice Address - Street 2:
Practice Address - City:ROOTSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44272
Practice Address - Country:US
Practice Address - Phone:330-325-6795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.094967207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH35.094967OtherSTATE MEDICAL BOARD OF OHIO
PAMD443051OtherPENNSYLVANIA STATE BOARD OF MEDICINE