Provider Demographics
NPI:1477556017
Name:MARY S. STERN HAND SURGERY FOUNDATION
Entity Type:Organization
Organization Name:MARY S. STERN HAND SURGERY FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-961-4263
Mailing Address - Street 1:538 OAK ST
Mailing Address - Street 2:STE 200
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2554
Mailing Address - Country:US
Mailing Address - Phone:513-961-4263
Mailing Address - Fax:513-961-1503
Practice Address - Street 1:538 OAK ST
Practice Address - Street 2:STE 200
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2554
Practice Address - Country:US
Practice Address - Phone:513-961-4263
Practice Address - Fax:513-961-1503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2016-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0663394Medicaid
OH9222901Medicare PIN