Provider Demographics
NPI:1063659357
Name:STEPHEN J FRANCIS, MD, INC.
Entity Type:Organization
Organization Name:STEPHEN J FRANCIS, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-253-9727
Mailing Address - Street 1:3033 STATE RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-3614
Mailing Address - Country:US
Mailing Address - Phone:330-253-9727
Mailing Address - Fax:330-920-3124
Practice Address - Street 1:3033 STATE RD
Practice Address - Street 2:SUITE 204
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-3614
Practice Address - Country:US
Practice Address - Phone:330-253-9727
Practice Address - Fax:330-920-3124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2945595Medicaid
9382481Medicare PIN