Joseph John Stubbers, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34005101 Issued in OH

Practice address

2740 Mack Rd
Fairfield, OH 45014-5161

Phone

(513) 860-3016

Fax

(513) 860-3073

NPI assigned

Oct 20, 2005

Last updated

Jul 12, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1053300152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145161",
            "telephone_number": "513-860-3016",
            "fax_number": "513-860-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145161",
            "telephone_number": "513-860-3016",
            "fax_number": "513-860-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBERS",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34005101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000015712",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110084589",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrinka Stone, CCC
• Ronesia Jenee Stone
• Tamara A Strassell, CNP
• Nikkia Strickland
• Kathleen A Strzyzykowski, LISW
• Tamara Stucker, RN
• Bennedicta Stuckey
• Alfred James Sugawara, O.D.
• Thomas E. Sullivan, PH.D.
• Summit Ohio Healthcare Inc

• Internal Medicine Physician in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.