Organization Active NPI

Stoll Medical Group LLC

  • Specialist
  • Philadelphia, PA
National Provider Identifier
1144875717
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
STOLL MEDICAL GROUP LLC
Practice address
1528 Walnut St Ste 950
Philadelphia, PA 19102-3628
Phone
(267) 273-1196
Fax
(267) 273-1193
NPI assigned
Aug 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Steven Matthew StollNPI 1518192004
Title
Provider/Owner
Phone
(215) 615-3020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1528 Walnut St Ste 950
Philadelphia, PA 19102-3628

Mailing address

1528 Walnut St Ste 950
Philadelphia, PA 19102-3628
Phone (267) 273-1196

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1144875717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST STE 950",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023628",
            "telephone_number": "267-273-1196",
            "fax_number": "267-273-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST STE 950",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023628",
            "telephone_number": "267-273-1196",
            "fax_number": "267-273-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOLL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "215-615-3020"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.