Active NPI
Stephany A George, MD
- Obstetrics & Gynecology Physician
- Wilmington, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35-069684
- Practice address
- 2241 Rombach Ave
Wilmington, OH 45177-1995 - Phone
- (937) 283-2588
- NPI assigned
- May 11, 2006
- Last updated
- Dec 23, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2262920 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-069684 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Physician Services, LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | 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.
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- NPI 1235891672
-
dba Union Hospital
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- Cincinnati, OH
- NPI 1811215742
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.