Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 35-074532 | OH |
Y | 2080P0203X | Pediatric Critical Care Doctor | 35-074532 | OH |
NPI | 1003901463 |
---|---|
Provider Name | Anne Stormorken |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 20/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221275 | UNISON (01) | OH |
000000345536 | ANTHEM (01) | OH |
000000529690 | ANTHEM (01) | OH |
1019239230001 | (05) | PA |
2062968 | (05) | OH |
2062968 | BCMH (01) | OH |
291535440A | (05) | GA |
364053 | WELLCARE (01) | OH |
5562709 | AETNA (01) | OH |
734441 | BUCKEYE (01) | OH |
G93375 | (02) | OH |