Provider Demographics
NPI:1932209681
Name:STERNEN, JOHN G (PA)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:G
Last Name:STERNEN
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:216-285-5115
Mailing Address - Fax:216-201-5316
Practice Address - Street 1:1000 AUBURN DR # 200
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4317
Practice Address - Country:US
Practice Address - Phone:440-285-5115
Practice Address - Fax:216-201-5316
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH50001071363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSTPA13594Medicare ID - Type Unspecified
OHS81862Medicare UPIN