Ethan D Stolzenberg, MD

Primary specialty

Neuropathology PhysicianTaxonomy code 207ZN0500X

License

25244 Issued in OK

Practice address

940 Stanton L Young Blvd
Suite 451
Oklahoma City, OK 73104-5020

Phone

(405) 271-2422

NPI assigned

Aug 13, 2006

Last updated

Sep 11, 2025By 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 2

Addresses

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 Medicine

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1164434585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST",
            "address_2": "ORI 236",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039",
            "telephone_number": "405-271-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 STANTON L YOUNG BLVD",
            "address_2": "SUITE 451",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045020",
            "telephone_number": "405-271-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLZENBERG",
        "first_name": "ETHAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "OK",
            "license": "25244",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "OK",
            "license": "25244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurann Stoll, COTA
• Sandra Rene Stoll, BS,BHRS
• Julia M Stoltenberg, MD
• Meagan Ann Stoltzfus
• Summer Stolz, MS, CCC-SLP
• Anthony Charles William Stolzy, APRN-CNS
• Sandra Lee Stolzy, M.D.
• Alissa Stone
• Ana M Stone, RPT
• Annamaria Bianca Stone

• Neuropathology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Neuropathology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.