Provider Demographics
NPI:1184869372
Name:CHESKY, STUART BARRY (DO, JD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:BARRY
Last Name:CHESKY
Suffix:
Gender:M
Credentials:DO, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13301 W LAKE RD
Mailing Address - Street 2:
Mailing Address - City:VERMILION
Mailing Address - State:OH
Mailing Address - Zip Code:44089-3061
Mailing Address - Country:US
Mailing Address - Phone:216-447-9604
Mailing Address - Fax:216-447-7925
Practice Address - Street 1:5700 LOMBARDO CENTER DR SUITE 115
Practice Address - Street 2:ROCK RUN CENTER DR
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-2540
Practice Address - Country:US
Practice Address - Phone:216-447-9604
Practice Address - Fax:216-447-7925
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5725207VG0400X, 209800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes209800000XAllopathic & Osteopathic PhysiciansLegal Medicine
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology