Provider Demographics
NPI:1366420689
Name:NAPLES, PATRICK J (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:J
Last Name:NAPLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3780 MEDINA RD
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-5947
Mailing Address - Country:US
Mailing Address - Phone:330-722-7664
Mailing Address - Fax:330-722-7664
Practice Address - Street 1:3780 MEDINA RD
Practice Address - Street 2:SUITE 210
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-5947
Practice Address - Country:US
Practice Address - Phone:330-722-7664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-051870207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0625710Medicaid
A16611Medicare UPIN
OH0625710Medicaid
OH0588844Medicare PIN
OH0588846Medicare PIN