Active NPI
Gregory L Stover, D.O.
- Orthopaedic Surgery Physician
- Sidney, OH
National Provider Identifier
1144282054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 34003521
- Practice address
- 1529 Fair Rd
Sidney, OH 45365-8193 - Phone
- (937) 497-9810
- Fax
- (937) 497-1334
- NPI assigned
- Apr 5, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 34003521 | OH | Primary |
Addresses
Primary practice location
1529 Fair Rd
Sidney, OH 45365-8193
Mailing address
725 University Blvd
Dayton, OH 45435-0001
Phone (937) 245-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0541793 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3521 | OH | MD | Chiropractor |
| 34003521 | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Orthopedic Associates of Shelby County Inc | Orthopaedic Surgery | Past | Accepting new patients |
| Wright State Physicians Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Sidney, OH
- NPI 1205909066
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Ambulatory Surgical Clinic/Center
- Dayton, OH
- NPI 1649447582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1144282054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 UNIVERSITY BLVD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454350001",
"telephone_number": "937-245-7100",
"fax_number": "937-245-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 FAIR RD",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453658193",
"telephone_number": "937-497-9810",
"fax_number": "937-497-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "GREGORY",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "34003521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0541793",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.