Provider Demographics
NPI:1891748091
Name:STERN, SHARON G (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:G
Last Name:STERN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4655 DOUGLAS CIRCLE NW
Mailing Address - Street 2:STE 100
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-3673
Mailing Address - Country:US
Mailing Address - Phone:330-499-5700
Mailing Address - Fax:
Practice Address - Street 1:4665 DOUGLAS CIR NW
Practice Address - Street 2:SUITE 101
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-3673
Practice Address - Country:US
Practice Address - Phone:330-489-1698
Practice Address - Fax:330-489-1325
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35056436207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0739053Medicaid
050012264OtherMEDICARE RAILROAD
000000135916OtherANTHEM
050012264OtherMEDICARE RAILROAD
OH0631074Medicare PIN