Individual provider Active NPI

Stephanie Erin Doris

  • Surgery Physician
  • Bucyrus, OH
National Provider Identifier
1235691049
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34.018095 Issued in OH
Practice address
140 Hill St
Bucyrus, OH 44820-1566
Phone
(419) 468-7785
NPI assigned
Apr 1, 2019
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34.018095 OH Primary

Addresses

Primary practice location

140 Hill St
Bucyrus, OH 44820-1566

Mailing address

50 Old Village Rd
Columbus, OH 43228-1583
Phone (614) 544-1000

Other practice location 1

1593 Olentangy Rd
Galion, OH 44833-9762
Phone (419) 468-7785

Other practice location 2

715 Richland Mall
Ontario, OH 44906-3802
Phone (419) 468-7785

Other practice location 3

24 E Whitney Ave
Shelby, OH 44875-1282
Phone (419) 468-7785

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
I20250820003843 OH Practitioner - General Surgery 9537496450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians

Practice addresses (Care Compare)

1593 Olentangy Rd
Galion, OH 44833-9762
Phone (419) 468-7785

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Ohio Family Care Center, Inc CurrentSince Sep 8, 2025 Accepting new patients
Bucyrus Community Hospital LLC PastSince Aug 3, 2025 Accepting new patients

Locations

700 N Columbus St
Crestline, OH 44827
Phone (419) 462-3485

1593 Olentangy Rd
Galion, OH 44833
Phone (419) 468-4841

2981 W 4th St
Ontario, OH 44906
Phone (419) 468-0505

715 Richland Mall
Ontario, OH 44906
Phone (419) 462-4547

24 E Whitney Ave
Shelby, OH 44875
Phone (419) 347-2525

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2586/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sdoris936085@direct.osumc.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1235691049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 OLD VILLAGE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281583",
            "telephone_number": "614-544-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HILL ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201566",
            "telephone_number": "419-468-7785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1593 Olentangy Rd",
            "address_purpose": "LOCATION",
            "city": "Galion",
            "state": "OH",
            "postal_code": "448339762",
            "country_code": "US",
            "telephone_number": "419-468-7785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Richland Mall",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OH",
            "postal_code": "449063802",
            "country_code": "US",
            "telephone_number": "419-468-7785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 E Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "OH",
            "postal_code": "448751282",
            "country_code": "US",
            "telephone_number": "419-468-7785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORIS",
        "first_name": "STEPHANIE",
        "middle_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.018095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

Verify at the official NPI Registry.