Provider Demographics
NPI:1821054834
Name:STRIET, STEPHANIE LOCAPUTO (MD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LOCAPUTO
Last Name:STRIET
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 1:5680 BRIDGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-4383
Mailing Address - Country:US
Mailing Address - Phone:513-564-3800
Mailing Address - Fax:513-564-3825
Practice Address - Street 1:5680 BRIDGETOWN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-4383
Practice Address - Country:US
Practice Address - Phone:513-564-3800
Practice Address - Fax:513-564-3825
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35083820S207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64101256Medicaid
OH2579535Medicaid
KY64101256Medicaid