Individual provider Active NPI

Stephany A George, MD

  • Obstetrics & Gynecology Physician
  • Wilmington, OH
National Provider Identifier
1174573984
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-069684 Issued in OH
Practice address
2241 Rombach Ave
Wilmington, OH 45177-1995
Phone
(937) 283-2588
NPI assigned
May 11, 2006
Last updated
Dec 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35-069684 OH Primary

Addresses

Primary practice location

2241 Rombach Ave
Wilmington, OH 45177-1995

Mailing address

PO Box 931591
Cleveland, OH 44193-1719

Other practice location 1

6115 Powers Blvd
Suite 306
Parma, OH 44129-5471
Phone (440) 743-4780

Other identifiers 1

IdentifierTypeStateIssuer
2262920MedicaidOH

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
I20051018000186 OH Practitioner - Obstetrics/Gynecology 3678599883 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-069684OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Physician Services, LLC CurrentSince Sep 22, 2025 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jun 1, 2022 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jun 1, 2022 Accepting new patients
Trihealth H LLC Past Accepting new patients
The Union Hospital Association Past Accepting new patients

Locations

205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335

400 Medical Park Dr
Ste LL1
Dover, OH 44622
Phone (330) 364-2700

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1174573984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931591",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441931719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 ROMBACH AVE",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451771995",
            "telephone_number": "937-283-2588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6115 Powers Blvd",
            "address_2": "SUITE 306",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441295471",
            "country_code": "US",
            "telephone_number": "440-743-4780",
            "fax_number": "440-743-4781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "STEPHANY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-069684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2262920",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.