Provider Demographics
NPI:1104924943
Name:PAJKA, STANLEY FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:STANLEY
Middle Name:FRANCIS
Last Name:PAJKA
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 1:6355 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3000
Mailing Address - Country:US
Mailing Address - Phone:440-886-2020
Mailing Address - Fax:440-886-2779
Practice Address - Street 1:6355 PEARL RD
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3000
Practice Address - Country:US
Practice Address - Phone:440-886-2020
Practice Address - Fax:440-886-2779
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35063646207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH341893855026OtherCARESOURCE
OH000000141636OtherANTHEM BC/BS
OH08-01268OtherUNITED HEALTH CARE
OH180037555OtherRAILROAD MEDICARE
OH341893855-00OtherBUREAU OF WORKER'S COMP
OH0877212Medicare ID - Type Unspecified
OH000000141636OtherANTHEM BC/BS