Provider Demographics
NPI:1144220807
Name:OCHS, STEVEN E (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:E
Last Name:OCHS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 MERCY DR NW
Mailing Address - Street 2:SUITE 510
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-2626
Mailing Address - Country:US
Mailing Address - Phone:330-456-6760
Mailing Address - Fax:330-452-4557
Practice Address - Street 1:1330 MERCY DR. NW
Practice Address - Street 2:SUITE 510
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708
Practice Address - Country:US
Practice Address - Phone:330-456-6760
Practice Address - Fax:330-452-4557
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-084851208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2528993Medicaid
OH2528993Medicaid
4135233Medicare ID - Type Unspecified
4135235Medicare ID - Type Unspecified
4135234Medicare ID - Type Unspecified
I08526Medicare UPIN
4135232Medicare ID - Type Unspecified