Provider Demographics
NPI:1861561052
Name:LOCSEY, STEPHANIE SARAH (MD)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:SARAH
Last Name:LOCSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2627 TREMAINSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-2509
Mailing Address - Country:US
Mailing Address - Phone:567-803-0425
Mailing Address - Fax:
Practice Address - Street 1:2627 TREMAINSVILLE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-2509
Practice Address - Country:US
Practice Address - Phone:567-803-0425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35066091207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0995160Medicaid
OH0995160Medicaid
E65633Medicare UPIN