Individual
DR. GREGORY S STOCKFISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.,F.A.C.F.A.S
Contact information
Practice address
575 COPELAND MILL RD, SUITE 2F, WESTERVILLE, OH 43081-8977
(614) 891-2828
(614) 891-5411
Mailing address
575 COPELAND MILL RD, SUITE 2F, WESTERVILLE, OH 43081-8977
(614) 891-2828
(614) 891-5411
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002387
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211119
ANTHEM
OH
01
—
000000273180
ANTHEM
OH
01
—
030507736028
CARESOURCE
OH
05
—
0707702
—
OH
01
—
311795350030
CARESOURCE
OH
01
—
4649800001
ADMINASTAR
OH
01
—
4778110001
ADMINASTAR
OH
01
—
480032425
RAILROAD MEDICARE
OH
01
—
480035261
RAILROAD MEDICARE
OH
Enumeration date
08/16/2005
Last updated
02/26/2008
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