OrganizationActive
Louis Stokes Va Medical Center
NPI 1245521723 · Student in an Organized Health Care Education/Training Program · Cleveland, OH
Provider details
- NPI number
- 1245521723
- Entity type
- Organization
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Organization subpart
- No
- Authorized official
- Susan Petrak, Management and Program Analyst(216) 791-3800
Specialties & taxonomies
Student, Health Care
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10701 East Blvd
Dental Service 160 (w)
Cleveland, OH 44106-1702
Phone: (216) 791-3800
Fax: (216) 231-3427
Street-level locationGet directions
Mailing address
10701 East Blvd
Cleveland, OH 44106-1702
Registry dates
- Enumerated
- 2011-05-02
- Last updated
- 2011-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.