Organization
FOUNTAIN ANTI-AGING
Active
Other names
xRMD
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WILLIAM ROZAKIS MD (CHAIRMAN)
(216) 233-8503
Entity
Organization
Contact information
Practice address
892 BEACH RD, LAKEWOOD, OH 44107-1018
(216) 233-8503
(216) 373-0044
Mailing address
892 BEACH RD, LAKEWOOD, OH 44107-1018
(216) 233-8503
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
243058-1
NY
207W00000X
Ophthalmology Physician
56673
CT
207W00000X
Ophthalmology Physician
G142755
CA
207W00000X
Ophthalmology Physician
MD459908
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655189
—
OH
Enumeration date
11/07/2017
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us