NPIMap

Individual provider Active NPI

Stephanie Brode, DO

  • Family Medicine Physician
  • Westlake, OH
National Provider Identifier
1316501067
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.014844 Issued in OH
Practice address
29000 Center Ridge Rd Ste 150
Westlake, OH 44145-5219
Phone
(440) 777-3500
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58.030598 OH
Family Medicine Physician 207Q00000X 34.014844 OH Primary

Addresses

Primary practice location

29000 Center Ridge Rd Ste 150
Westlake, OH 44145-5219

Mailing address

9500 Euclid Ave
Cleveland, OH 44195-0001

Other practice location 1

2365 Edison Blvd
Twinsburg, OH 44087-2388
Phone (234) 212-6400

Other names 1

  • Stephanie Shoop Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL n/a Health Information Exchange (HIE) Cleveland Clinic Foundation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220922001746 OH Practitioner - Family Practice 7113260472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

5778 Darrow Rd
Hudson, OH 44236-3808

5778 Darrow Rd C
Hudson, OH 44236-3808
Phone (216) 383-0100

Hospital & facility affiliations

  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Summa Health System Hospital, Akron, OH, CCN 360020
  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
University Primary Care Practices Inc CurrentSince Dec 1, 2023 Accepting new patients
University Primary Care Practices Inc CurrentSince Dec 1, 2023 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
University Primary Care Practices Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

29000 Center Ridge Rd
Ste 150
Westlake, OH 44145
Phone (440) 827-5261

Interoperability endpoints

  • Direct secure messaging: sshoop176155@direct.metrohealth.org
  • Direct secure messaging: sbrode524248@ehrdirect.uhhospitals.org

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1316501067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29000 CENTER RIDGE RD STE 150",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455219",
            "telephone_number": "440-777-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2365 Edison Blvd",
            "address_purpose": "LOCATION",
            "city": "Twinsburg",
            "state": "OH",
            "postal_code": "440872388",
            "country_code": "US",
            "telephone_number": "234-212-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODE",
        "first_name": "STEPHANIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58.030598",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.014844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "Y",
            "endpointDescription": "n/a",
            "affiliationName": "Cleveland Clinic Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2365 Edison Blvd",
            "city": "Twinsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440872388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SHOOP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.