Taylor Edmond Stofft, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110006339 Issued in VA

Practice address

985 Prince Frederick Blvd.
Suite 201
Prince Frederick, MD 20678-3492

Phone

(561) 843-0276

NPI assigned

Aug 28, 2018

Last updated

Nov 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Calvert Internal Medicine Group, PAGroup PAC ID 1759371834, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
• Homecall Home health agency, Easton, MD, CCN 217066
• Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tstofft@calvertinternalmedicine.medentdirect.com

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.

• Calvert Internal Medicine Group PA

  • Internal Medicine Physician
  • Prince Frederick, MD
  • NPI 1174682298
  Medicare reassignment Care Compare group
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Glenn G. Marinelli MD PA

  • Otolaryngology Physician
  • Prince Frederick, MD
  • NPI 1780854885
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Homecall, LLC

  dba HomeCall

  • Home Health Agency
  • Easton, MD
  • NPI 1700971843
  Care Compare affiliation Name & address match
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Forest Hill, MD
  • NPI 1528352747
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Columbia, MD
  • NPI 1558680447
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Glen Burnie, MD
  • NPI 1578501789
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Towson, MD
  • NPI 1902843451
  Care Compare affiliation
• Luminis Health Anne Arundel Medical Center, Inc.

  dba Conexus Laboratories Inc.

  • Clinical Medical Laboratory
  • Annapolis, MD
  • NPI 1356885032

  Hospital

  Care Compare affiliation
• Luminis Health Anne Arundel Medical Center, Inc.

  • General Acute Care Hospital
  • Annapolis, MD
  • NPI 1477517225
  Care Compare affiliation

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1295216240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD.",
            "address_2": "SUITE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783492",
            "telephone_number": "561-843-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD.",
            "address_2": "SUITE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783492",
            "telephone_number": "561-843-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFFT",
        "first_name": "TAYLOR",
        "middle_name": "EDMOND",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-28",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.