Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 35.060676 | OH |
Y | 207RA0401X | Internist - Addiction Medicine | 35.060676 | OH |
NPI | 1922022748 |
---|---|
Provider Name | James Edward Sturmi III |
First Address | Cincinnati, OH 45202-1459 |
Second Address | Cincinnati, OH 45206-2348 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 21/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0807238 | (05) | OH |
E76539 | (02) | OH |