Individual provider Active NPI

Anne McPherren Stover, M.D.

  • Family Medicine Physician
  • Boardman, OH
National Provider Identifier
1174516835
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-05-9666-S Issued in OH
Practice address
250 Debartolo PL
Suite 1650
Boardman, OH 44512-7004
Phone
(330) 726-9355
Fax
(330) 726-9444
NPI assigned
Aug 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-05-9666-S OH Primary

Addresses

Primary practice location

250 Debartolo PL
Suite 1650
Boardman, OH 44512-7004

Mailing address

250 Debartolo PL
Suite 1650
Boardman, OH 44512-7004
Phone (330) 726-9355

Other identifiers 1

IdentifierTypeStateIssuer
0965568MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031119000648 OH Practitioner - Family Practice 2668386939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oral Roberts University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

  • Akeso Home Health Care Inc Home health agency, Canfield, OH, CCN 368475
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G38064CAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Jan 2, 2025 Accepting new patients
Steward Medical Group Inc. Family Medicine CurrentSince Apr 30, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 30, 2018 Accepting new patients

Locations

1440 S Canfield Niles Rd
Austintown, OH 44515
Phone (234) 264-8080

20 Ohltown Rd
Ste 105
Austintown, OH 44515
Phone (330) 884-2021

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1174516835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 DEBARTOLO PL",
            "address_2": "SUITE 1650",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445127004",
            "telephone_number": "330-726-9355",
            "fax_number": "330-726-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 DEBARTOLO PL",
            "address_2": "SUITE 1650",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445127004",
            "telephone_number": "330-726-9355",
            "fax_number": "330-726-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "ANNE",
        "middle_name": "MCPHERREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-05-9666-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0965568",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.