Provider Demographics
NPI:1932172780
Name:STERGIOU, ANGELINE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELINE
Middle Name:
Last Name:STERGIOU
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 1:1153 E MAIN ST
Mailing Address - Street 2:PO BOX 2563
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-4056
Mailing Address - Country:US
Mailing Address - Phone:740-687-8990
Mailing Address - Fax:740-687-8230
Practice Address - Street 1:131 N EWING ST
Practice Address - Street 2:UNIT C
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3383
Practice Address - Country:US
Practice Address - Phone:740-689-6600
Practice Address - Fax:740-689-6603
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0633172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0876093Medicaid
OHCD3781OtherMEDICARE RAILROAD
OH0721753Medicare PIN
OH0876093Medicaid
OHBS3026831OtherDEA
OH0711752Medicare PIN