Provider Demographics
NPI:1881236560
Name:FIVESTARS ONLINECARE
Entity type:Organization
Organization Name:FIVESTARS ONLINECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAZID
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:216-513-4540
Mailing Address - Street 1:3016 RIVIERA LN
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-6843
Mailing Address - Country:US
Mailing Address - Phone:216-659-3035
Mailing Address - Fax:
Practice Address - Street 1:3016 RIVIERA LN
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-6843
Practice Address - Country:US
Practice Address - Phone:216-513-4540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-14
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty