Maurice W Stutzman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35048434 Issued in OH

Practice address

4907A Dalbey Lane
Berlin, OH 44610

Phone

(330) 893-2341

Fax

(330) 893-3027

NPI assigned

Nov 10, 2005

Last updated

Dec 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1144201666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "address_2": "4907A DALBEY LANE",
            "city": "BERLIN",
            "state": "OH",
            "postal_code": "446100366",
            "telephone_number": "330-893-2341",
            "fax_number": "330-893-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907A DALBEY LANE",
            "city": "BERLIN",
            "state": "OH",
            "postal_code": "44610",
            "telephone_number": "330-893-2341",
            "fax_number": "330-893-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZMAN",
        "first_name": "MAURICE",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35048434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Shutt, NP
• Amanda K Sindel, RDH
• Jennifer Lee Smith, CNP
• Tammi Kim Snow, RN
• Lindsay Nicole Stutzman, D.D.S.
• Michael Allen Stutzman, D.D.S.
• Candy Yoder, APRN
• Kevin C Yoder, DDS

• Family Medicine Physician in Berlin, OH
• Providers in Berlin, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.