Active NPI
Todd Stoeberl, AUD
- Audiologist
- Willmar, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5456
- Practice address
- Affiliated Community Medical Centers
101 Willmar Ave SW
Willmar, MN 56201 - Phone
- (320) 231-5000
- Fax
- (320) 231-5067
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 5456 | MN | Primary |
Addresses
Primary practice location
Affiliated Community Medical Centers
101 Willmar Ave SW
Willmar, MN 56201
Mailing address
Affiliated Community Medical Centers
101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Willmar Ave SW
Willmar, MN 56201-3556
Phone (320) 231-5000
600 Peterson Pkwy
New London, MN 56273-7823
Phone (320) 354-2222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5456 | MN | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carris Health LLC | Current | Accepting new patients | |
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| Carris Health - Redwood LLC | Current | Accepting new patients | |
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| Redwood Area Hospital | Current | Accepting new patients | |
| Carris Health - Redwood LLC | Current | Accepting new patients | |
| Carris Health - Redwood LLC | Past | Accepting new patients |
Locations
600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222
101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120
101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Willmar, MN
- NPI 1174106264
-
- Emergency Medicine Physician
- Redwood Falls, MN
- NPI 1265914048
-
- Emergency Medicine Physician
- Willmar, MN
- NPI 1134632680
-
- Home Health Agency
- Redwood Falls, MN
- NPI 1386126167
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1912664889
-
- Critical Access Hospital
- Redwood Falls, MN
- NPI 1487733614
-
- Community Based Hospice Care Agency
- Redwood Falls, MN
- NPI 1174005953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013087030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AFFILIATED COMMUNITY MEDICAL CENTERS",
"address_2": "101 WILLMAR AVE SW",
"city": "WILLMAR",
"state": "MN",
"postal_code": "56201",
"telephone_number": "320-231-5000",
"fax_number": "320-231-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AFFILIATED COMMUNITY MEDICAL CENTERS",
"address_2": "101 WILLMAR AVE SW",
"city": "WILLMAR",
"state": "MN",
"postal_code": "56201",
"telephone_number": "320-231-5000",
"fax_number": "320-231-5067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOEBERL",
"first_name": "TODD",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "5456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.