Individual provider Active NPI

Stella Maria Von Troil (Locum), MD

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1225080088
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 90220 Issued in FL
Practice address
2465 McMullen Booth Road, Oakbrook Plaza
Clearwater, FL 33759-1368
Phone
(727) 725-5224
Fax
(727) 799-2183
NPI assigned
May 17, 2006
Last updated
Oct 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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 ME 90220 FL Primary

Addresses

Primary practice location

2465 McMullen Booth Road, Oakbrook Plaza
Clearwater, FL 33759-1368

Mailing address

10051 5TH St North
Attn Credentialing
St Pete, FL 33702-2211
Phone (727) 824-0780

Other identifiers 1

IdentifierTypeStateIssuer
41801OtherFLBCBS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX, HI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20141104002089 AL Practitioner - Family Practice 4284698812 Reassigns benefits to 1 organization
I20170208002207 TX Practitioner - Family Practice 4284698812 Reassigns benefits to 1 organization
I20190325000701 HI Practitioner - Family Practice 4284698812 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 90220FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Feb 10, 2019 Accepting new patients
Franklin Primary Health Center, Inc Family Medicine CurrentSince Sep 15, 2014 Accepting new patients
The Queen's Medical Center CurrentSince Feb 10, 2019 Accepting new patients
Franklin Primary Health Center Inc. Family Medicine Current Accepting new patients
Poarch Band of Creek Indians CurrentSince Jan 1, 2017 Accepting new patients
Franklin Primary Health Center, Inc Family Medicine CurrentSince Sep 15, 2014 Accepting new patients
Pensacola Primary Care Inc Family Medicine Past Accepting new patients

Locations

5811 Jack Springs Rd
Atmore, AL 36502
Phone (251) 368-9136

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 678-7000

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/148f5931-d9cf-4d65-8c66-7021ed161b73/

Organizations & group practices 7

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1225080088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 5TH ST NORTH",
            "address_2": "ATTN CREDENTIALING",
            "city": "ST PETE",
            "state": "FL",
            "postal_code": "337022211",
            "telephone_number": "727-824-0780",
            "fax_number": "727-568-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 MCMULLEN BOOTH ROAD, OAKBROOK PLAZA",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591368",
            "telephone_number": "727-725-5224",
            "fax_number": "727-799-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON TROIL (LOCUM)",
        "first_name": "STELLA",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 90220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "41801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.