Provider Demographics
NPI:1619020138
Name:CSEAK, KARIN D (DO)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:D
Last Name:CSEAK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 PORTAGE TRAIL EXT W
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-2542
Mailing Address - Country:US
Mailing Address - Phone:330-923-3060
Mailing Address - Fax:330-923-7705
Practice Address - Street 1:556 PORTAGE TRAIL EXT W
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-2542
Practice Address - Country:US
Practice Address - Phone:330-923-3060
Practice Address - Fax:330-923-7705
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6986208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2085069Medicaid
OH0860866Medicare ID - Type Unspecified
OH2085069Medicaid