Active NPI
Stella Maria Von Troil (Locum), MD
- Family Medicine Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 90220
- 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, 2015
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41801 | Other | FL | BCBS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, TX, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 90220 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Queens Medical Center | Current | Accepting new patients | |
| Franklin Primary Health Center, Inc | Family Medicine | Current | Accepting new patients |
| The Queen's Medical Center | Current | Accepting new patients | |
| Franklin Primary Health Center Inc. | Family Medicine | Current | Accepting new patients |
| Poarch Band of Creek Indians | Current | Accepting new patients | |
| Franklin Primary Health Center, Inc | Family Medicine | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1679532303
Family Medicine
-
dba Poarch Creek Indian Health Department
- Federally Qualified Health Center (FQHC)
- Atmore, AL
- NPI 1902916489
TX
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
dba Franklin Evergreen Family Health Center
- Federally Qualified Health Center (FQHC)
- Evergreen, AL
- NPI 1346733821
Family Medicine
-
dba Evergreen Family Medical Center
- Federally Qualified Health Center (FQHC)
- Evergreen, AL
- NPI 1912327479
Family Medicine
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
-
- Family Medicine Physician
- Pensacola, FL
- NPI 1982643169
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.