Stephanus Eric Haryadi, MD
Stephanus Eric Haryadi, MD is an Internal Medicine in Orwell, Ohio. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2015, 11 years ago. Practices with The Metrohealth System, a 1,163-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 11
- Trained at
- Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
- Licensed in
- OH
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
315 E Main StOrwell, OH 44076-9590
Phone: (440) 437-6222
Fax: (440) 437-1022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 35.135310 (OH) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1174902498 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 19, 2015 |
| Last updated in NPPES | February 3, 2021 |
| Certification date | February 3, 2021 |
| Mailing address | 8055 Mayfield Rd Ste 105, Chesterland, OH 44026-2447 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY |
| Graduated | 2015 (11 years in practice) |
| Group practice | The Metrohealth System — 1163 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |