Individual provider Active NPI

Emily Stoulil, D.C.

  • Chiropractor
  • Eldora, IA
National Provider Identifier
1003281775
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
080557 Issued in IA
Practice address
1376 Washington St
Eldora, IA 50627-1631
Phone
(641) 939-3831
Fax
(641) 939-3922
NPI assigned
Dec 7, 2015
Last updated
Dec 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 080557 IA Primary
Chiropractor 111N00000X 514012 WI

Addresses

Primary practice location

1376 Washington St
Eldora, IA 50627-1631

Mailing address

1376 Washington St
Eldora, IA 50627-1631
Phone (641) 939-3831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151217001059 IA Practitioner - Chiropractic 1759682693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eldora Family Chiropractic and Wellness Center, P.C.Group PAC ID 0143549311, 2 clinicians

Practice addresses (Care Compare)

1376 Washington St
Eldora, IA 50627-1631
Phone (641) 939-3831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080557IAMDChiropractor
514012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald C Neuerburg DC Chiropractor PastSince Dec 16, 2015 Accepting new patients

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1003281775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 WASHINGTON ST",
            "city": "ELDORA",
            "state": "IA",
            "postal_code": "506271631",
            "telephone_number": "641-939-3831",
            "fax_number": "641-939-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 WASHINGTON ST",
            "city": "ELDORA",
            "state": "IA",
            "postal_code": "506271631",
            "telephone_number": "641-939-3831",
            "fax_number": "641-939-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOULIL",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "080557",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "514012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldora, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.